Edward Supinski in Port Orange - Internal Medicine
Edward Supinski - NPI 1700854833
Edward Supinski is a Internal Medicine in Port Orange, Florida. Edward Supinski practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Edward Supinski is 1700854833. The last update date is 2023-06-30.
Edward Supinski's current location address is 3641 Clyde Morris Blvd Ste 100, Port Orange, Florida. You can contact this provider via phone number 3866754410 and fax number 8665425859. The mailing address for Edward Supinski is 3641 Clyde Morris Blvd Ste 100, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward Supinski |
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Address | 3641 Clyde Morris Blvd Ste 100, Port Orange, Florida |
Phone Number | 3866754410 |
Fax Number | 8665425859 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1700854833 |
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Provider Enumeration Date | 2006-03-14 |
Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
Address | 3641 Clyde Morris Blvd Ste 100 |
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City | Port Orange |
State | Florida (FL) |
Post Code | 321292357 |
Phone Number | 3866754410 |
Fax Number | 8665425859 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | ME 80671 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
259199500 | FL | -- | |
35630 | FL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Edward Supinski by the Centers for Medicare & Medicaid Services?
The Edward Supinski has been issued the NPI (National Provider Identifier) 1700854833. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edward Supinski?
The Edward Supinski is physically situated at 3641 Clyde Morris Blvd Ste 100, in the city of Port Orange, state of FL, with the postal code 321292357.
What is Edward Supinski's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Supinski is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did Edward Supinski receive its 1700854833 assignment from the Centers for Medicare & Medicaid Services?
The Edward Supinski was assigned its 1700854833 on 2006-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Edward Supinski's information last updated?
The Edward Supinski's information was last updated on 2023-06-30.