Provider Demographics
NPI:1578599148
Name:CALIN POP MD PA
Entity Type:Organization
Organization Name:CALIN POP MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CALIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:POP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-597-2240
Mailing Address - Street 1:PO BOX 26126
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33623-6126
Mailing Address - Country:US
Mailing Address - Phone:727-823-2188
Mailing Address - Fax:
Practice Address - Street 1:4215 RACHEL BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34607-2529
Practice Address - Country:US
Practice Address - Phone:352-597-2240
Practice Address - Fax:352-597-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0071312207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDG2082OtherRAILROAD MEDICARE
FLDG2082OtherRAILROAD MEDICARE