Provider Demographics
NPI:1518909555
Name:POPA, ALINA L (MD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:L
Last Name:POPA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:877-826-3774
Mailing Address - Fax:
Practice Address - Street 1:408 MANATEE AVE E STE 2
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1135
Practice Address - Country:US
Practice Address - Phone:941-748-1331
Practice Address - Fax:941-756-2803
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-09-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD426976207R00000X
FLME89640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA414023OtherUPMC
PAI48878OtherHEALTH AMERICA/HEALTH ASS
PA1785766OtherHIGHMARK BLUE SHIELD
PA1610543OtherGATEWAY
PA50054409OtherCAPITAL BLUE CROSS/KEYSTO
PA30123171OtherAMERIHEALTH MERCY - WMG
PAP01105514OtherRAILROAD MEDICARE
PAP01105514OtherRAILROAD MEDICARE
PA1785766OtherHIGHMARK BLUE SHIELD