Provider Demographics
NPI:1043424997
Name:CHOPKI, RAYMOND MICHAEL (LMT NMT)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:MICHAEL
Last Name:CHOPKI
Suffix:
Gender:M
Credentials:LMT NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 KENNSINGTON CT
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PK
Mailing Address - State:FL
Mailing Address - Zip Code:34201
Mailing Address - Country:US
Mailing Address - Phone:941-400-0076
Mailing Address - Fax:
Practice Address - Street 1:1900 ROBINHOOD ST
Practice Address - Street 2:LOTUS GARDEN
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231
Practice Address - Country:US
Practice Address - Phone:941-400-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL33370225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C2288OtherBCBS