Provider Demographics
NPI:1447423561
Name:JOHN J. SCHOPPE DPM PA
Entity Type:Organization
Organization Name:JOHN J. SCHOPPE DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHOPPE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:7722-871-1577
Mailing Address - Street 1:717 SE OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2343
Mailing Address - Country:US
Mailing Address - Phone:772-287-1157
Mailing Address - Fax:772-287-1153
Practice Address - Street 1:717 SE OSCEOLA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2343
Practice Address - Country:US
Practice Address - Phone:772-287-1157
Practice Address - Fax:772-287-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO447332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4334400001Medicare NSC