MEDICARE: DR. JAMES J VOPAL DDS, MD, FACS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME0037442	FL

General Provider Information

NPI Number	:	1184625162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J VOPAL DDS, MD, FACS

Provider Business Mailing Address
First Line	:	801 SE OSCEOLA ST
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2431
Country	:	US
Telephone Number	:	772-220-4050
Fax Number	:	772-220-0502

Provider Business Practice Location Address
First Line	:	801 SE OSCEOLA ST
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2431
Country	:	US
Telephone Number	:	772-220-4050
Fax Number	:	772-220-0502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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