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1285056663
SUPRA MEDICAL GROUP
PLANTATION, FL
NPI
1285056663
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Entity Type
Organization
Authorized Contact
RAFAEL SOSA
Owner
305-485-1532
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2014-01-20
Last Update Date
2022-07-21
Business Address
SUPRA MEDICAL GROUP
201 NW 70TH AVE STE A
PLANTATION, FL 33317-2369
Phone number: 305-485-1532
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Mailing Address
SUPRA MEDICAL GROUP
201 NW 70TH AVE STE A
PLANTATION, FL 33317-2369
Phone number: 305-485-1532
Copy
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