Organization
MARCOS G JOPPERT MD
Active
Other names
FLORIDA CANCER SPECIALISTS COUNTRYSIDE
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN FULKERSON (DIRECTOR OF PHARMACY SERVICES)
(239) 274-8200
Entity
Organization
Contact information
Practice address
3253 N MCMULLEN BOOTH RD, STE 100, CLEARWATER, FL 33761-2043
(727) 725-8102
(727) 796-7009
Mailing address
3253 N MCMULLEN BOOTH RD, STE 100, CLEARWATER, FL 33761-2043
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME73531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013349
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
265956500
—
FL
Enumeration date
08/20/2006
Last updated
12/05/2008
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