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 General Practice Physician · NPI 1205592656

Supra Medical Group II, LLC is a General Practice Physician in Miami, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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 387
Miami, FL 33173-3020
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

General Practice Physician (primary) Taxonomy 208D00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1205592656
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSupra Medical Group II, LLC
Authorized official Kleydson Da Silva — Ceo · (305) 200-5210
NPI enumeratedNovember 10, 2021
Last updated in NPPESNovember 10, 2021
Certification dateOctober 27, 2021
Mailing address10300 Sw 72nd St Ste 387, Miami, FL 33173-3020

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