Provider Demographics
NPI:1962946830
Name:HOPPE, BETH (RT)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:HOPPE
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2201 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8844
Mailing Address - Country:US
Mailing Address - Phone:727-893-6027
Mailing Address - Fax:727-553-7821
Practice Address - Street 1:2201 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8844
Practice Address - Country:US
Practice Address - Phone:727-893-6027
Practice Address - Fax:727-553-7821
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL340582471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging