Superior Physician Group

NPI #1164912754 in Temple Terrace, Florida

Provider Information

NPI Number: 1164912754
Entity Type: Organization
Organization Name: Superior Physician Group
Primary Specialty: Internal Medicine
Enumeration Date: May 18, 2018
Last Updated: May 22, 2018

Practice Location

Address: 10730 N 56TH ST STE 209
City: Temple Terrace
State: Florida
ZIP Code: 33617
Phone: (813) 365-5680

Authorized Official

Name: MS. RENII MODISETTE
Title: OPERATIONS MANAGER
Phone: (813) 365-5680

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