Palmetto Comprehensive Health Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PALMETTO COMPREHENSIVE HEALTH CENTER

Practice address

11261 SW 164TH Ter
Miami, FL 33157-2717

Phone

(786) 543-3081

NPI assigned

Jul 2, 2025

Last updated

Jul 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ludgy Renaud Suplice

Title

Owner

Phone

(786) 543-3081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ludgy Renaud Supplice, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1841772506
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1811886922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 SW 164TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331572717",
            "telephone_number": "786-543-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11261 SW 164TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331572717",
            "telephone_number": "786-543-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO COMPREHENSIVE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "SUPLICE",
        "authorized_official_first_name": "LUDGY",
        "authorized_official_middle_name": "RENAUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-543-3081"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Associates CMHC, Inc
• Palmetto Bay Maternity Center
• Palmetto Bay Medical Center, Inc
• Palmetto Bay Medical Supply, Inc.
• Palmetto Comprehensive Health Care Inc.
• Palmetto General Ambulatory Center Inc
• Palmetto General Outpatient Services
• Palmetto Home Health Care Services Corp
• Palmetto Lakes Medical and Rehab Center LLC
• Palmetto Medical Center ,Inc

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.