Dr. Jorge Konopka
Family Doctor Family Doctor - Adult Medicine
1951 Sw 172nd Ave Suite 312
Miramar
, Florida 33029
Dr. Jorge Konopka
Family Doctor Family Doctor - Adult Medicine
1951 Sw 172nd Ave Suite 312
Miramar
, Florida 33029
(954) 320-7601
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About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Jorge Konopka
- 1951 Sw 172nd Ave Suite 312
- Miramar, FL
- Zip : 33029-5593
- Fax : (954) 320-7601
- Phone : (954) 320-7999
Second Address
- Dr. Jorge Konopka
- 1951 Sw 172nd Ave Suite 312
- Miramar, FL
- Zip : 33029
- Fax : (954) 320-7601
- Phone : (954) 320-7999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | ME103846 | FL |
| N | 207QA0505X | Family Doctor - Adult Medicine | ME103846 | FL |
National Provider Identifier
| NPI | 1316140262 |
|---|---|
| Provider Name | Dr. Jorge Konopka |
| First Address | Miramar, FL 33029-5593 |
| Second Address | Miramar, FL 33029 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2007 |
| Last Update Date | 28/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ME 103846 | FL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.