Healthcare Provider Details

I. General information

NPI: 1255319356
Provider Name (Legal Business Name): JOSEPH V SCHOPPE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 08/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 SE OCEAN BLVD SUITE 201
STUART FL
34996-3301
US

IV. Provider business mailing address

2220 SE OCEAN BLVD SUITE 201
STUART FL
34996-3301
US

V. Phone/Fax

Practice location:
  • Phone: 772-221-1193
  • Fax: 772-221-1152
Mailing address:
  • Phone: 772-221-1193
  • Fax: 772-221-1152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO2735
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: