Individual
JORDAN GREGORY KUPPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6280 W SAMPLE RD STE 203, CORAL SPRINGS, FL 33067
(954) 481-9942
(954) 481-9917
Mailing address
6280 W SAMPLE RD STE 203, CORAL SPRINGS, FL 33067-3173
(954) 481-9942
(954) 481-9917
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME91965
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME91965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16216
FLORIDA BLUE
FL
01
—
7685894
AETNA
FL
01
—
8882895
CIGNA
FL
Enumeration date
06/12/2006
Last updated
09/14/2018
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