Provider Demographics
NPI:1780683482
Name:JOPPERT, MARCOS GUAPINDAIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARCOS
Middle Name:GUAPINDAIA
Last Name:JOPPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4371 VERONICA S SHOEMAKER BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-2216
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:239-278-3350
Practice Address - Street 1:3850 TAMPA RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3670
Practice Address - Country:US
Practice Address - Phone:727-784-6779
Practice Address - Fax:727-781-8910
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME73531207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00663683OtherRR MEDICARE
FL42577OtherBCBS
FL252764200Medicaid
FL42577OtherBCBS
FLG59799Medicare UPIN