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

Dr. Mark Supino, MD

Individual provider Emergency Medicine Physician · NPI 1174741078

Dr. Mark Supino, MD is an Emergency Medicine in Miami, Florida. Graduated from New York University School of Medicine in 2004, 22 years ago. Practices with Public Health Trust of Miami Dade County Florida, a 131-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
22
Trained at
New York University School of Medicine
Licensed in
FL, IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 585-6910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME116582 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-116901 (IL)

Record details

NPI number1174741078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJanuary 29, 2015
Mailing address1611 Nw 12th Ave, Miami, FL 33136-1005

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Public Health Trust Of Miami Dade County Florida — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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