Organization
KOPA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L. BIEGASIEWICZ (PRESIDENT)
(407) 216-0101
Entity
Organization
Contact information
Practice address
5900 LAKE ELLENOR DR STE 700C, ORLANDO, FL 32809-4618
(407) 352-2542
Mailing address
5900 LAKE ELLENOR DR STE 700C, ORLANDO, FL 32809-4618
(407) 352-2542
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
03/17/2022
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