Individual
DR. CHANDANA BOPITIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 SCENIC DR, VENICE, FL 34293-1510
(941) 584-0043
(941) 496-8627
Mailing address
2350 SCENIC DR, VENICE, FL 34293-1510
(941) 584-0043
(941) 496-8627
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME26460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58259
BCBS
FL
Enumeration date
08/09/2005
Last updated
01/16/2008
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