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SUPRA MEDICAL GROUP
NPI 1285056663
Clinic/Center in Plantation, FL

Active since January 20, 2014
201 NW 70TH AVE STE A, PLANTATION, FL 33317(305) 485-1532(305) 485-1534 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 22, 2021, Jun 20, 2018 (3 updates tracked since 2018).

About Supra Medical Group NPPES

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

SUPRA MEDICAL GROUP (NPI 1285056663) is a healthcare organization registered as a clinic/center in Plantation, Florida and active in the NPI registry since January 2014. The organization lists Rafael Sosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1285056663
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSUPRA MEDICAL GROUP
Location Address201 NW 70TH AVE STE APlantation, FL 33317-2369
Mailing Address201 Nw 70th Ave Ste APlantation, FL 33317-2369 · (305) 485-1532 · Fax (305) 485-1534
Phone(305) 485-1532
Fax(305) 485-1534
Organization SubpartNo
Authorized OfficialRafael SosaOwner · (305) 485-1532
Enumeration DateJanuary 20, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1285056663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
201 NW 70TH AVE STE A, Plantation, FL 33317
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Other Identifiers 1

OtherHCC10035FL · Ahca

Other Providers at the Same Location NPPES 3

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

ALIVIA THERAPY CORP
Massage Therapist
201 NW 70TH AVE STE A
PLANTATION, FL 33317
Broward County (305) 485-1532
LUIS HERRERA LMT
Massage Therapist
201 NW 70TH AVE STE A
PLANTATION, FL 33317
Broward County (305) 485-1532
DR. JACOB CHARLES TEICHNER DDS
Dentist (General Practice)
201 NW 70TH AVE STE A
PLANTATION, FL 33317
Broward County (954) 792-5544

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's NPI number?

The NPI number for Supra Medical Group is 1285056663. It was assigned to this organization in the NPPES registry on January 20, 2014.

Where is Supra Medical Group located?

Supra Medical Group is located at 201 NW 70th Ave Ste A, Plantation, FL 33317. The listed phone number is (305) 485-1532.

What is Supra Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Supra Medical Group was last updated on July 21, 2022. 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.