Kopa Health Services LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KOPA HEALTH SERVICES LLC

Practice address

5900 Lake Ellenor Dr Ste 700C
Orlando, FL 32809-4618

Phone

(407) 352-2542

NPI assigned

Jan 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly L. Biegasiewicz

Title

President

Phone

(407) 216-0101

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hansie Camille Jean, DNP, APRN, AGNP-BC

  • Primary Care Nurse Practitioner
  • Orlando, FL
  • NPI 1063015485
  NPD
• Luis Ernesto Garcia Suero, MD

  • Internal Medicine Physician
  • Winter Garden, FL
  • NPI 1578996468
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1376134650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094618",
            "telephone_number": "407-352-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094618",
            "telephone_number": "407-352-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "BIEGASIEWICZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-216-0101"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Koonce
• Bridget Fey Koontz, M.D.
• Franklin Mark Koontz
• Jessica Sue Koontz
• Brooke Ashley Koopman, RN
• Kopa LLC
• Adair Marina Kopani, MA, CCC-SLP
• Sarah Kopec, BS
• Joshua Koplon, MD
• Mary Kopp

• Health Service Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.