Organization
JEFFERSON M TRUPP MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON M TRUPP MD (OWNER/PHYSICIAN)
(850) 481-1687
Entity
Organization
Contact information
Practice address
2900 S HIGHWAY 77, LYNN HAVEN, FL 32444-5612
(850) 481-1687
(850) 640-0761
Mailing address
2900 S HIGHWAY 77, LYNN HAVEN, FL 32444-5612
(850) 481-1687
(850) 640-0761
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME40682
—
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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