Provider Demographics
NPI:1093254450
Name:HOPPES, JOSEPH LESLIE (CPO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LESLIE
Last Name:HOPPES
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11139 KELLEHER CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-3623
Mailing Address - Country:US
Mailing Address - Phone:727-858-2204
Mailing Address - Fax:
Practice Address - Street 1:11139 KELLEHER CT
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-3623
Practice Address - Country:US
Practice Address - Phone:727-858-2204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPOR331744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management