Provider Demographics
NPI:1225110786
Name:JAMES J VOPAL MD,PA
Entity Type:Organization
Organization Name:JAMES J VOPAL MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-220-4050
Mailing Address - Street 1:801 SE OSCEOLA ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2431
Mailing Address - Country:US
Mailing Address - Phone:772-220-4050
Mailing Address - Fax:772-220-0502
Practice Address - Street 1:801 SE OSCEOLA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2431
Practice Address - Country:US
Practice Address - Phone:772-220-4050
Practice Address - Fax:772-220-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37442174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4008234OtherDR VOPAL AETNA
6385719003OtherDR VOPAL CIGNA
FLME37442OtherDR VOPAL STATE LICENSE
FLME97068OtherDR SANDERSON STATE LICEN
FL1184625162OtherDR VOPAL NPI
FL1689768491OtherDR SANDERSON NPI
FL1184625162OtherDR VOPAL NPI
FLD82642Medicare UPIN