Individual
CHARITY ELEANOR POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4729 US HIGHWAY 98 S STE 201, LAKELAND, FL 33812-4336
(863) 646-9663
Mailing address
4729 US HIGHWAY 98 S STE 201, LAKELAND, FL 33812-4336
(863) 646-9663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9105392
FL
Other
Enumeration date
12/14/2010
Last updated
11/13/2023
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