Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supra Medical Group II, LLC

Organization Case Management Agency · NPI 1083379564

Supra Medical Group II, LLC is a Case Management Agency in Miami, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10300 SW 72nd St Ste 101
Miami, FL 33173-3038
Phone: (305) 200-5210
Fax: (305) 200-5780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X

Record details

NPI number1083379564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kleydson Da Silva — Ceo · (305) 200-5210
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address10300 Sw 72nd St Ste 101, Miami, FL 33173-3038

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