Larry R. Popeil, Md, Pa | |
2203 Se 3rd Ave Ocala FL 34471-5117 | |
(352) 622-2477 | |
(352) 622-5417 |
Full Name | Larry R. Popeil, Md, Pa |
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Speciality | General Practice |
Location | 2203 Se 3rd Ave, Ocala, Florida |
Authorized Official Name and Position | Bonnie J. Sorrentino (OFFICE MANAGER) |
Authorized Official Contact | 3526227554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Larry R. Popeil, Md, Pa 2203 Se 3rd Ave Ocala FL 34471-5117 Ph: (352) 622-2477 | Larry R. Popeil, Md, Pa 2203 Se 3rd Ave Ocala FL 34471-5117 Ph: (352) 622-2477 |
NPI Number | 1477826782 |
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Provider Enumeration Date | 02/16/2012 |
Last Update Date | 02/16/2012 |
Medicare PECOS PAC ID | 5890955538 |
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Medicare Enrollment ID | O20120404000488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477826782 | NPI | - | NPPES |
068936000 | Medicaid | FL | |
080080501 | Other | FL | RAILROAD MEDICARE |
20063 | Other | FL | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME44562 (Florida) | Primary |
Provider Name | Larry R. Popeil |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346298916 PECOS PAC ID: 7315107059 Enrollment ID: I20120404000525 |
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