Individual
JESSICA G CUPIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2020 TOWN CENTER BLVD STE D, BRANDON, FL 33511-2906
(813) 284-2212
(813) 377-1713
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 284-2212
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OS138898
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS13898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023320500
—
FL
Enumeration date
03/23/2012
Last updated
03/29/2018
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