MEDICARE: JOY POPE

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1710388806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY POPE

Provider Business Mailing Address
First Line	:	1850 LEE RD STE 300
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2107
Country	:	US
Telephone Number	:	407-740-8899
Fax Number	:	407-740-8771

Provider Business Practice Location Address
First Line	:	1850 LEE RD STE 300
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2107
Country	:	US
Telephone Number	:	407-740-8899
Fax Number	:	407-740-8771

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

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	09/09/2014

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Directions to “ JOY POPE ” Practice Location

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