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SUPERIOR PHYSICIAN GROUP
NPI 1164912754
Internal Medicine in Temple Terrace, FL

Active since May 18, 2018
10730 N 56TH ST STE 209, TEMPLE TERRACE, FL 33617(813) 365-5680 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2018, May 18, 2018 (2 updates tracked since 2018).

About Superior Physician Group NPPES

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

SUPERIOR PHYSICIAN GROUP (NPI 1164912754) is a healthcare organization registered as an internal medicine in Temple Terrace, Florida and active in the NPI registry since May 2018. The organization lists Renii Modisette, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1164912754
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUPERIOR PHYSICIAN GROUP
Location Address10730 N 56TH ST STE 209Temple Terrace, FL 33617
Mailing Address10730 N 56th St Ste 209Temple Terrace, FL 33617-3611 · (813) 365-5680
Phone(813) 365-5680
Organization SubpartNo
Authorized OfficialRenii ModisetteOperations Manager · (813) 365-5680
Enumeration DateMay 18, 2018
Last NPPES UpdateMay 22, 20182 updates tracked since enumeration
✔ NPI 1164912754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
10730 N 56TH ST STE 209, Temple Terrace, FL 33617
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Superior Physician Group's NPI number?

The NPI number for Superior Physician Group is 1164912754. It was assigned to this organization in the NPPES registry on May 18, 2018.

Where is Superior Physician Group located?

Superior Physician Group is located at 10730 N 56th St Ste 209, Temple Terrace, FL 33617. The listed phone number is (813) 365-5680.

What is Superior Physician Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Superior Physician Group was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.