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John Super, MA

NPI 1285950832 · on the registry since 2010

Practice

Address
938 Lake Baldwin Ln
Orlando, FL 32814
Phone
(407) 770-1200
Organisation at this address
The Mending Group
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida