Individual
JORGE L DOPICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
601 1ST ST N, WINTER HAVEN, FL 33881-4129
(863) 294-0670
(863) 298-3200
Mailing address
635 1ST ST N, WINTER HAVEN, FL 33881-4129
(863) 294-0670
(863) 298-3200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390454700
—
FL
01
—
480027080
MEDICARE ID/RRM PIN
FL
Enumeration date
03/10/2006
Last updated
05/20/2008
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