Organization
SUPREME MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE GRUEIRO (PRESIDENT)
(786) 534-9199
Entity
Organization
Contact information
Practice address
8300 SW 8TH ST, STE 305, MIAMI, FL 33144-4100
(786) 534-9199
Mailing address
8300 SW 8TH ST, STE 305, MIAMI, FL 33144-4100
(786) 534-9199
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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