MEDICARE: DR. JASON SCOTT LOPATE D.C.

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	111N00000X	Chiropractor	CH8338	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578529715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON SCOTT LOPATE D.C.

Provider Business Mailing Address
First Line	:	33550 S DIXIE HWY
Second Line	:	SUITE 132
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-5602
Country	:	US
Telephone Number	:	305-242-6665
Fax Number	:	305-242-6919

Provider Business Practice Location Address
First Line	:	33550 S DIXIE HWY
Second Line	:	SUITE 132
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-5602
Country	:	US
Telephone Number	:	305-242-6665
Fax Number	:	305-242-6919

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	01/25/2012

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