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Individual

MR. JOSEPH F CUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4343 W NEWBERRY RD, SUITE 14, GAINESVILLE, FL 32607-2826
(352) 373-4321
(352) 373-0613
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4592
(352) 416-1082
(325) 373-6144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3500
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122020700
FL
Enumeration date
06/18/2006
Last updated
06/06/2024
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