Individual
MR. PAUL C KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 PORTOFINO PT APT M2, COCONUT CREEK, FL 33066-1241
(954) 821-8404
Mailing address
3201 PORTOFINO PT APT M2, COCONUT CREEK, FL 33066-1241
(954) 821-8404
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
234320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753448
—
FL
Enumeration date
06/12/2019
Last updated
06/12/2019
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