Provider Demographics
NPI:1184932873
Name:DEBRA M. HOPP, D.C., P.A.
Entity type:Organization
Organization Name:DEBRA M. HOPP, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-540-1300
Mailing Address - Street 1:4639 DEL PRADO BLVD S
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7446
Mailing Address - Country:US
Mailing Address - Phone:239-540-1300
Mailing Address - Fax:239-540-1110
Practice Address - Street 1:4639 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7446
Practice Address - Country:US
Practice Address - Phone:239-540-1300
Practice Address - Fax:239-540-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380697900Medicaid
FL380697900Medicaid
FL22931Medicare PIN