# MANUEL POUPARINA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780966085
- **Authorized official:** MANUEL POUPARINA MD (PRESIDENT)
- **Authorized official phone:** (256) 337-2297

## Contact information

- **Practice address:** 1237 DEBORAH DR SE, HUNTSVILLE, AL 35801-1414
- **Practice address phone:** (256) 337-2297
- **Mailing address:** 1237 DEBORAH DR SE, HUNTSVILLE, AL 35801-1414
- **Mailing address phone:** (256) 337-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 28396 | AL | Yes |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 10/20/2011