MEDICARE: COSMINA I POPA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME135174	FL
2	208M00000X	Hospitalist Physician	ME135174	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093979924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COSMINA I POPA MD

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-254-5951
Fax Number	:	239-468-7957

Provider Business Practice Location Address
First Line	:	2515 NORTHBROOKE PLAZA DR STE 200
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-8088
Country	:	US
Telephone Number	:	949-302-5644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	12/09/2025

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Directions to “ COSMINA I POPA MD” Practice Location

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