Organization · Type 2 NPI

Kopa LLC

Multi-Specialty Clinic/Center · Orlando, FL

NPI number 1417021114 Active · reactivated Dec 22, 2023

Practice location

5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643

Fax (844) 556-8650

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1417021114

Kopa LLC's National Provider Identifier is 1417021114, issued on Nov 17, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Orlando, FL. The record was last updated on Dec 22, 2023.