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Supra Medical Group
Clinic/Center in Plantation, Florida
NPI 1285056663

Supra Medical Group is a Clinic/Center based in Plantation, FL. Supra Medical Group practices in Plantation, FL. The NPI Number for Supra Medical Group is 1285056663 and holds a License No. (Florida).

The current practice location address for Supra Medical Group is 201 Nw 70Th Ave Ste A, Plantation, FL and can be reached out via phone at 305-485-1532 and via fax at 305-485-1534.

Location: 201 Nw 70Th Ave Ste A, Plantation, FL, 33317-2369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285056663
Provider Name
Supra Medical Group
Credential
Provider Entity Type
Organization
Address
201 Nw 70Th Ave Ste A, Plantation, FL, 33317-2369
Phone Number
305-485-1532
Fax Number
305-485-1534
Provider Enumeration Date
01/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HCC10035 01 FL AHCA
institution
Provider Business Practice Location Address Details
Address
201 Nw 70Th Ave Ste A
City
Plantation
State
Florida
Zip
33317-2369
Phone Number
305-485-1532
Fax Number
305-485-1534
person
Provider Business Mailing Address Details
Address
201 Nw 70Th Ave Ste A
City
Plantation
State
Florida
Zip
33317-2369
Phone Number
305-485-1532
Fax Number
305-485-1534
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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