Individual
JEFFREY MICHAEL POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 21ST AVE N, SAINT PETERSBURG, FL 33704-3253
(727) 512-5679
Mailing address
850 21ST AVE N, SAINT PETERSBURG, FL 33704-3253
(727) 512-5679
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0803020544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123556789
CASH AND CREDIT CARD
—
Enumeration date
04/29/2020
Last updated
04/29/2020
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