Individual provider · Type 1 NPI

Eileen Nikko Super, MD

Surgery Physician · Miramar, FL

NPI number 1124465067 Active

Practice location

3601 SW 160th Ave, Suite 250
Miramar, FL 33027-6308

Fax (855) 855-2792

Mailing address

936 Broad St, Unit 303
Augusta, GA 30901-8200

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X74602 (GA)
Family Medicine Physician 207Q00000X74602 (GA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1124465067

Eileen Nikko Super, MD's National Provider Identifier is 1124465067, issued on Jun 2, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Miramar, FL. The record was last updated on Aug 26, 2016.