PEACH SUPUPRAMAI DO NPI 1235766296

NPI Information

Peach Supupramai, DO is a student in an organized health care education training program in Fort Lauderdale, FL with 4 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Peach Supupramai, DO NPI is 1235766296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 S ANDREWS AVE
FORT LAUDERDALE, FL
ZIP 33316-510
Phone: (954) 355-4400

The NPI 1235766296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2020 and was last updated on 3/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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