Organization
PAUL M POPPER MD PA
Active
Organization
PAUL M POPPER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M POPPER MD (OWNER)
(941) 625-6223
Entity
Organization
Contact information
Practice address
21229 OLEAN BLVD, UNIT D, PORT CHARLOTTE, FL 33952-6719
(941) 625-6223
(941) 627-2680
Mailing address
21229 OLEAN BLVD, UNIT D, PORT CHARLOTTE, FL 33952-6719
(941) 625-6223
(941) 627-2680
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME46549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME46549
STATE LICENSE NUMBER
FL
Enumeration date
06/08/2011
Last updated
12/02/2014
Update your record
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