Individual
DR. BEENA C KOPPUZHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3937 S ACCESS RD, ENGLEWOOD, FL 34224-3612
(941) 475-6568
(855) 250-3332
Mailing address
3937 S ACCESS RD, ENGLEWOOD, FL 34224-3612
(941) 475-6568
(855) 250-3332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0075143
FL
Other
Enumeration date
05/15/2006
Last updated
01/22/2016
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