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SUPRA MEDICAL GROUP II, LLC
NPI 1205592656
General Practice in Miami, FL

Active since November 10, 2021
10300 SW 72ND ST STE 387, MIAMI, FL 33173(305) 200-5210(305) 200-5780 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: September 20, 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 1205592656) is a healthcare organization registered as a general practice 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

NPI1205592656
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUPRA MEDICAL GROUP II, LLC
Location Address10300 SW 72ND ST STE 387Miami, FL 33173-3020
Mailing Address10300 Sw 72nd St Ste 387Miami, FL 33173-3020 · (305) 200-5210 · Fax (305) 200-5780
Phone(305) 200-5210
Fax(305) 200-5780
Organization SubpartYes
Authorized OfficialKleydson Da SilvaCeo · (305) 200-5210
Enumeration DateNovember 10, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1205592656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
10300 SW 72ND ST STE 387, Miami, FL 33173
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 4

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

SUPRA MEDICAL GROUP II, LLC
Community/Behavioral Health
10300 SW 72ND ST STE 387
MIAMI, FL 33173
Miami-Dade County (305) 200-5210
LUIS E VEGA TORRES
Behavior Technician
10300 SW 72ND ST STE 387
MIAMI, FL 33173
Miami-Dade County (786) 205-4515
VIDANOVA MEDICAL GROUP, LLC
General Practice
10300 SW 72ND ST STE 387
MIAMI, FL 33173
Miami-Dade County (786) 205-4515
KLEYDSON NEVES DA SILVA APRN
Nurse Practitioner (Family)
10300 SW 72ND ST STE 387
MIAMI, FL 33173
Miami-Dade County (305) 200-5210

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 1205592656. It was assigned to this organization in the NPPES registry on November 10, 2021.

Where is Supra Medical Group II, LLC located?

Supra Medical Group II, LLC is located at 10300 SW 72nd St Ste 387, 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 General Practice with taxonomy code 208D00000X.

What insurance does Supra Medical Group II, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Supra Medical Group II, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Supra Medical Group II, LLC was last updated on November 10, 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.