Supinski, Edward
Supinski, Edward is an individual health care provider with primary practice located at 3641 Clyde Morris Blvd Ste 100 , Port Orange FL 32129-2357. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Supinski, Edward can be contacted via phone (386) 675-4410.Contact Information
Primary practice address
3641 Clyde Morris Blvd Ste 100
Port Orange FL 32129-2357
Phone: (386) 675-4410
Fax: (866) 542-5859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 80671 | Florida |
Profile Details
| NPI number | 1700854833 |
|---|---|
| LBN Legal business name | Supinski, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 30th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700854833 | NPPES |
| Florida | MEDICAID | 259199500 | |
| Florida | Other | 35630 |
Popular Providers
-
Serrano-Lopez, Carmen A.
740 Dunlawton Ave , Port Orange FL 32127-4901 -
Cuadra Mongalo, Silvia Maria
740 Dunlawton Ave , Port Orange FL 32127-4239 -
Cucchiarella, Mario
740 Dunlawton Ave Ste. 200, Port Orange FL 32127-4239 -
Duren, Laura Ann
740 Dunlawton Ave , Port Orange FL 32127-4239 -
Jinjuvadia, Raxitkumar
3635 Clyde Morris Blvd Ste 100 , Port Orange FL 32129-2349 -
Alkhatib, Hassan
1730 Dunlawton Ave Ste 1 , Port Orange FL 32127-8986 -
Melo, Haroldo De Carvalho
5535 S Williamson Blvd Ste 722 , Port Orange FL 32128-8311 -
Moussly, Souheil
3890 Turtle Creek Dr , Port Orange FL 32129