Individual
ROCKY JAMES LUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
Mailing address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67.000103
OH
367H00000X
Anesthesiologist Assistant
Primary
AA328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018028800
—
FL
05
—
2466317
—
OH
Enumeration date
02/15/2007
Last updated
10/10/2016
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