# KOPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KOPA PA, Coast To Coast Physicians Alliance, Sand Lake Hospitalists,
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417021114
- **Authorized official:** KIMBERLY L BIEGASIEWICZ (PRESIDENT)
- **Authorized official phone:** (407) 216-0101

## Contact information

- **Practice address:** 5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
- **Practice address phone:** (407) 352-2542
- **Practice address fax:** (844) 556-8650
- **Mailing address:** 5900 LAKE ELLENOR DR STE 700, ORLANDO, FL 32809-4643
- **Mailing address phone:** (407) 352-2542
- **Mailing address fax:** (844) 556-8650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 12/22/2023
