Provider Demographics
NPI:1699710335
Name:HOPP, DEBRA M (DC)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:M
Last Name:HOPP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3321 DEL PRADO BLVD S
Mailing Address - Street 2:STE 10
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7263
Mailing Address - Country:US
Mailing Address - Phone:239-540-1300
Mailing Address - Fax:239-540-1110
Practice Address - Street 1:3321 DEL PRADO BLVD S
Practice Address - Street 2:STE 10
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7263
Practice Address - Country:US
Practice Address - Phone:239-540-1300
Practice Address - Fax:239-540-1110
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380697900Medicaid
FLU45456Medicare UPIN