Supra Medical Group
Supra Medical Group is a Clinic/Center in Plantation, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
Practice location Address checks out
201 NW 70th Ave Ste APlantation, FL 33317-2369
Phone: (305) 485-1532
Fax: (305) 485-1534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X (FL) |
|---|
Record details
| NPI number | 1285056663 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rafael Sosa — Owner · (305) 485-1532 |
| NPI enumerated | January 20, 2014 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | November 22, 2021 |
| Mailing address | 201 Nw 70th Ave Ste A, Plantation, FL 33317-2369 |
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