Supra Medical Group

LBN: Supra Medical Group
Supra Medical Group is an health care organization with primary practice located at 201 Nw 70Th Ave Ste A , Plantation FL 33317-2369. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Supra Medical Group can be contacted via phone (305) 485-1532, or through Sosa, Rafael via phone (305) 485-1532.

Contact Information

Primary practice address
201 Nw 70Th Ave Ste A Plantation FL 33317-2369
Phone: (305) 485-1532
Fax: (305) 485-1534
Website:
Map and Directions
Authorized official contact:
Name: Sosa, Rafael
Phone: (305) 485-1532

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Florida

Profile Details

NPI number 1285056663
LBN Legal business name Supra Medical Group
DBA Doing business as
Authorized official Sosa, Rafael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2014
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285056663 NPPES
Florida Other HCC10035 AHCA

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