Male or Other

Dr. Michael J. Lupi DO

Interventional Pain Medicine Physician in Jacksonville, FL(View on Map)

Full Name

Dr. Michael James Lupi DO

NPI Number

1407822067

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/24/2006

Specialties

(Taxonomies)

Code

208VP0014X
208VP0000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Georgia

License Number

OS14239
038152

Contact
Information

Purpose

Mailing
Location

Address

4730 N HABANA AVE STE 204
11705 SAN JOSE BLVD STE 110

City

Tampa
Jacksonville

State

FL
FL

Postal Code

33614-7148
32223

Country

US
US

Telephone Number

(813) 549-2134
(904) 292-2700

Identifiers

Identifier

000597726F
P00146494
000597726G

Identifier State

GA
GA
GA

Identifier Issuer

Unknown
RR MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/22/2018

Provider Address

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