Individual
IAN SUPERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
2887 MAIDEN GRASS ISLE, WESLEY CHAPEL, FL 33543-7282
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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