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Organization
KOPA LLC
Active
Organization
KOPA LLC
Active
Other names
KOPA PA, Coast To Coast Physicians Alliance, Sand Lake Hospitalists,
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L BIEGASIEWICZ (PRESIDENT)
(407) 216-0101
Entity
Organization
Contact information
Practice address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(844) 556-8650
Mailing address
5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
(407) 352-2542
(844) 556-8650
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/17/2006
Last updated
12/22/2023
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