Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack A Cipolla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104621549

Jack A Cipolla is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

117 SW 10th St Apt 1701
Miami, FL 33130-3687
Phone: (760) 525-2916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104621549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address117 Sw 10th St Apt 1701, Miami, FL 33130-3687

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