Kopa Llc is a Multi-specialty in Orlando, Florida. Kopa Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Kopa Llc is 1417021114. The last update date is 2023-10-02.
Kopa Llc's current location address is 5900 Lake Ellenor Dr Ste 700, Orlando, Florida. You can contact this provider via phone number 4073522542 and fax number 8445568650. The mailing address for Kopa Llc is 5900 Lake Ellenor Dr Ste 700, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kopa Llc |
|---|---|
| Address | 5900 Lake Ellenor Dr Ste 700, Orlando, Florida |
| Phone Number | 4073522542 |
| Fax Number | 8445568650 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Biegasiewicz L Kimberly |
| Telephone Number | 4072160101 |
NPI Number Detail
| NPI Number | 1417021114 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2023-10-02 |
Provider Mailing Address Detail
| Address | 5900 Lake Ellenor Dr Ste 700 |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328094643 |
| Phone Number | 4073522542 |
| Fax Number | 8445568650 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HCC10648 | FL | AHCA | |
| 107434200 | FL | -- | |
| 94707 | FL | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kopa Llc by the Centers for Medicare & Medicaid Services?
The Kopa Llc has been assigned the NPI (National Provider Identifier) 1417021114 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kopa Llc is geographically located?
The Kopa Llc is physically situated at the following location: 5900 Lake Ellenor Dr Ste 700, Orlando, FL, 328094643.
What is Kopa Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kopa Llc is Multi-specialty, and the taxonomy code that categorizes this field of expertise is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417021114 to Kopa Llc?
The Centers for Medicare & Medicaid Services assigned the 1417021114 to Kopa Llc on 2006-11-17.
When was the information pertaining to Kopa Llc most recently updated or revised?
The details related to Kopa Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-02.