Dopico, Jorge L

Dopico, Jorge L is an sole proprietor health care provider with primary practice located at 601 1St St N , Winter Haven FL 33881-4129. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dopico, Jorge L can be contacted via phone (863) 294-0670.

Contact Information

Primary practice address
601 1St St N Winter Haven FL 33881-4129
Phone: (863) 294-0670
Fax: (863) 298-3200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2742 Florida

Profile Details

NPI number 1053389445
LBN Legal business name Dopico, Jorge L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2006
Last updated May 20th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053389445 NPPES
Florida MEDICAID 390454700
Florida Other 480027080

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