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

Supreme Medical Group PLLC

Organization Infectious Disease Physician · NPI 1073970810

Supreme Medical Group PLLC is an Infectious Disease Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10967 Lake Under Hill Rd Unit 137
Orlando, FL 32825-4455
Phone: (407) 930-1030
Fax: (407) 386-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence ME109765 (FL)

Record details

NPI number1073970810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheena Jose — Medical Director · (407) 930-1030
NPI enumeratedJanuary 25, 2016
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address10967 Lake Under Hill Road, Unit 137, Orlando, FL 32825-4455

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