Jessica G Cupido, DO | |
2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 | |
(813) 284-2212 | |
(813) 377-1713 |
Full Name | Jessica G Cupido |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 2020 Town Center Blvd Ste D, Brandon, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407122468 | NPI | - | NPPES |
023320500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | OS138898 (Florida) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | OS13898 (Florida) | Primary |
Entity Name | Florida Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
Mailing Address | Practice Location Address |
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Jessica G Cupido, DO 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 284-2212 | Jessica G Cupido, DO 2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 Ph: (813) 284-2212 |
Molly Kaleen Kimball, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 721 W Robertson St Ste 102, Brandon, FL 33511 Phone: 862-676-8502 | |
Dr. Amit Kishore Patel, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1465 Oakfield Dr, Brandon, FL 33511 Phone: 813-655-0404 Fax: 813-635-9589 |