Provider Demographics
NPI:1558631952
Name:CARMION POPE PA
Entity Type:Organization
Organization Name:CARMION POPE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMION
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:561-200-4433
Mailing Address - Street 1:1325 S CONGRESS AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5876
Mailing Address - Country:US
Mailing Address - Phone:561-200-4433
Mailing Address - Fax:561-200-0460
Practice Address - Street 1:1325 S CONGRESS AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5876
Practice Address - Country:US
Practice Address - Phone:561-200-4433
Practice Address - Fax:561-200-0460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2052171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty