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Individual
JEFF D KOPELMAN
Active
Individual
JEFF D KOPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0002119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202493
AMERIGROUP
FL
05
—
390062200
—
FL
01
—
480013205
RETIRED RAILROAD MEDICARE
FL
01
—
65149
BCBS
FL
Enumeration date
11/29/2005
Last updated
08/28/2019
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