Individual
DR. JOSE M SOSA POPOTEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
16261 BASS RD STE 300, FORT MYERS, FL 33908-3671
(239) 343-6410
(239) 343-4014
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6410
(223) 934-3401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
29351
MS
207RC0000X
Cardiovascular Disease Physician
Primary
ME139059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07331505
—
MS
05
—
112321200
—
FL
Enumeration date
08/08/2012
Last updated
08/15/2024
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