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NPI Code Detail

MEDICARE: ALFRED PUPO

MEDICARE: ALFRED PUPO
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
1106S00000XBehavior TechnicianRBT-26-518523FL

General Provider Information

NPI Number : 1881521367
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFRED PUPO
Provider Business Mailing Address
First Line : 2724 DIPLOMAT PKWY W
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-4892
Country : US
Telephone Number : 305-636-8713
Fax Number :
Provider Business Practice Location Address
First Line : 1342 SE 46TH LN
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-8617
Country : US
Telephone Number : 239-961-3032
Fax Number : 239-310-2048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ ALFRED PUPO ” Practice Location

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