| Jessica G Cupido, DO | |
|
2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 | |
| (813) 284-2212 | |
| (813) 377-1713 |
| Full Name | Jessica G Cupido |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 2020 Town Center Blvd Ste D, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407122468 | NPI | - | NPPES |
| 023320500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | OS138898 (Florida) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | OS13898 (Florida) | Primary |
| Entity Name | Florida Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica G Cupido, DO 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (813) 284-2212 | Jessica G Cupido, DO 2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 Ph: (813) 284-2212 |
Brianna Roussin, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 206 Ridgewood Ave, Brandon, FL 33510 Phone: 813-662-1060 | |
Molly Kaleen Kimball, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 721 W Robertson St Ste 102, Brandon, FL 33511 Phone: 862-676-8502 | |
Daniel Gable, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 119 Oakfield Dr, Brandon, FL 33511 Phone: 813-681-5551 |