| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/16/2012 |
| Medicare PECOS PAC ID | 5890955538 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346298916 PECOS PAC ID: 7315107059 Enrollment ID: I20120404000525 |
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