MEDICARE: MATTHEW DAVID RUPE DC

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	15825	FL

General Provider Information

NPI Number	:	1952258634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW DAVID RUPE DC

Provider Business Mailing Address
First Line	:	11045 LONGBOAT KEY LN APT 312
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-2750
Country	:	US
Telephone Number	:	727-466-8985
Fax Number	:

Provider Business Practice Location Address
First Line	:	2431 BRUNELLO TRCE
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-7800
Country	:	US
Telephone Number	:	813-669-2950
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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