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

Alexander Boepple Su

Individual provider Family Medicine Physician · NPI 1043604069

Alexander Boepple Su is a Family Practice in Miami, Florida. Qualified in 2015, 11 years ago. Practices with Public Health Trust of Miami Dade County Florida, a 55-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136
Phone: (305) 243-2951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME131452 (FL)

Record details

NPI number1043604069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESMay 24, 2018
Mailing address1611 Nw 12th Ave, Miami, FL 33136-1005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Public Health Trust Of Miami Dade County Florida — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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