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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOPA LLC

Deactivated Organization

KOPA LLC is a Multi-Specialty Clinic organization located in ORLANDO, Florida. NPI 1417021114 is deactivated in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · ORLANDO, FL

This NPI has been deactivated. The record was deactivated on December 15, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1417021114
Provider Type
Organization
NPI Issued
Nov 17, 2006 (17.07650273224 yrs)
Last Updated
Dec 22, 2023
Deactivated
Dec 15, 2023

Practice Information

Address
5900 LAKE ELLENOR DR STE 700
ORLANDO, FL, 328094643
Browse FL providers · Browse ZIP 32809
Phone
4073522542
Fax
8445568650
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
Multi-Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.