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Contact Information

MICHAEL J LUPI, DO
11705 SAN JOSE BLVD STE 110
JACKSONVILLE, FL32223
 Phone: 904-292-2700
 Fax: 904-292-2666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MICHAEL J LUPI · (Male)

NPI # 1407822067
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/24/2006
Last updated 05/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS14239
  • GA License # 038152
  • GA Medicaid 000597726F
  • GA Medicaid 000597726G
  • GA Other P00146494 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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