Organization
SUPRA MEDICAL GROUP II, LLC
Active
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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