Provider Type Icon

MR. MIKE MAURICE SUPPLICE ARNP NPI 1689000101


NPI Information

NPI: 1689000101
Provider Name: MR. MIKE MAURICE SUPPLICE, ARNP
Classification: Anesthesiology - 207LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
2009 MICCOSUKEE RD
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 942-2299
Get Directions

MR. Mike Maurice Supplice, ARNP is a critical care medicine anesthesiology in Tallahassee, FL with 7 years of experience. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. MR. Mike Maurice Supplice, ARNP NPI is 1689000101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2009 MICCOSUKEE RD
TALLAHASSEE, FL
ZIP 32308-359
Phone: (850) 942-2299
Fax: (850) 942-0322

The NPI 1689000101 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 9/16/2013 and was last updated on 11/10/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerARNP9290091FLORIDANo
2207LC0200XAnesthesiologyCritical Care MedicineRN210166GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.