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

Peach Supupramai, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235766296

Peach Supupramai, DO is a Family Practice in Fort Lauderdale, Florida. Qualified in 2020, 6 years ago. Practices with Holy Cross Hospital Inc, a 300-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone: (954) 355-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235766296
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Holy Cross Hospital Inc — 300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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