SUPRA MEDICAL GROUP II, LLC
NPI 1083379564
Clinic/Center - Multi-Specialty in Miami, FL

Active since November 01, 2021
10300 SW 72ND ST STE 101, MIAMI, FL 33173(305) 200-5210(305) 200-5780 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supra Medical Group Ii, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPRA MEDICAL GROUP II, LLC (NPI 1083379564) is a healthcare organization registered as a multi-specialty in Miami, Florida and active in the NPI registry since November 2021. The organization lists Kleydson Da Silva, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083379564
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUPRA MEDICAL GROUP II, LLC
Location Address10300 SW 72ND ST STE 101Miami, FL 33173-3038
Mailing Address10300 Sw 72nd St Ste 101Miami, FL 33173-3038 · (305) 200-5210 · Fax (305) 200-5780
Fax(305) 200-5780
Organization SubpartNo
Authorized OfficialKleydson Da SilvaCeo · (305) 200-5210
Enumeration DateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
NPI 1083379564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
10300 SW 72ND ST STE 101, Miami, FL 33173

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
10300 SW 72ND ST STE 101
MIAMI, FL 33173
Behavior Technician
10300 SW 72ND ST STE 101
MIAMI, FL 33173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supra Medical Group II, LLC's NPI number?

The NPI number for Supra Medical Group II, LLC is 1083379564. It was assigned to this organization in the NPPES registry on November 1, 2021.

Where is Supra Medical Group II, LLC located?

Supra Medical Group II, LLC is located at 10300 SW 72nd St Ste 101, Miami, FL 33173. The listed phone number is (305) 200-5210.

What is Supra Medical Group II, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Supra Medical Group II, LLC was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.