Cupido, Jessica G

Cupido, Jessica G is an individual health care provider with primary practice located at 2020 Town Center Blvd Ste D , Brandon FL 33511-2906. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Cupido, Jessica G can be contacted via phone (813) 284-2212.

Contact Information

Primary practice address
2020 Town Center Blvd Ste D Brandon FL 33511-2906
Phone: (813) 284-2212
Fax: (813) 377-1713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS138898 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X OS13898 Florida

Profile Details

NPI number 1407122468
LBN Legal business name Cupido, Jessica G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2012
Last updated Mar 29th, 2018 - about 6 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 1407122468 NPPES
Florida MEDICAID 023320500

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