Superior Physician Group

LBN: Superior Physician Group
Superior Physician Group is an health care organization with primary practice located at 10730 N 56Th St Ste 209 , Temple Terrace FL 33617. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Superior Physician Group can be contacted via phone (813) 365-5680, or through Modisette, Renii via phone (813) 365-5680.

Contact Information

Primary practice address
10730 N 56Th St Ste 209 Temple Terrace FL 33617
Phone: (813) 365-5680
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Modisette, Renii
Phone: (813) 365-5680

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1164912754
LBN Legal business name Superior Physician Group
DBA Doing business as
Authorized official Modisette, Renii
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2018
Last updated May 22nd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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