Individual
SAMUEL PAUL POPINCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21097 NE 27TH CT, SUITE 540, AVENTURA, FL 33180-1204
(786) 623-2000
(786) 221-4276
Mailing address
21097 NE 27TH CT, SUITE 540, AVENTURA, FL 33180-1204
(786) 623-2000
(786) 221-4276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME125095
FL
207X00000X
Orthopaedic Surgery Physician
MT195641
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME125095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME125095
FLORIDA STATE BOARD OF MEDICINE
FL
01
—
MT195641
PENNSYLVANIA STATE MEDICAL LICENSE
PA
Enumeration date
06/08/2009
Last updated
01/13/2017
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