Organization
SUPRA MEDICAL GROUP II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLEYDSON NEVES DA SILVA OWNER (MANAGER)
(786) 205-4515
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST STE 387, MIAMI, FL 33173-3020
(305) 200-5210
(305) 200-5780
Mailing address
10300 SUNSET DR STE 101, MIAMI, FL 33173-3038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/20/2017
Last updated
05/29/2025
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