Organization · Type 2 NPI

Supra Medical Group Ii, LLC

Multi-Specialty Clinic/Center · Miami, FL

NPI number 1083379564 Active

Practice location

10300 SW 72nd St Ste 101
Miami, FL 33173-3038

Call (305) 200-5210 Map

Fax (305) 200-5780

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Adult Day Care Clinic/Center 261QA0600XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1083379564

Supra Medical Group Ii, LLC's National Provider Identifier is 1083379564, issued on Nov 1, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Miami, FL. The record was last updated on Nov 1, 2021.