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

Eileen Nikko Super, MD

Individual provider Surgery Physician · NPI 1124465067

Eileen Nikko Super, MD is a Surgery Physician in Miramar, Florida. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

3601 SW 160th Ave Ste 250
Miramar, FL 33027-6308
Phone: (877) 866-7123
Fax: (855) 855-2792
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Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 74602 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 74602 (GA)

Record details

NPI number1124465067
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2013
Last updated in NPPESAugust 26, 2016
Mailing address936 Broad St, Unit 303, Augusta, GA 30901-8200

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