Organization
FAMILY PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT KOPPEL DPM (PRESIDENT)
(352) 376-5112
Entity
Organization
Contact information
Practice address
500 NW 43RD ST, SUITE 2, GAINESVILLE, FL 32607-6126
(352) 376-5112
(352) 376-0320
Mailing address
500 NW 43D ST., 2, GAINESVILLE, FL 32607-6126
(352) 376-5112
(352) 376-0320
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2501
FL
Other
Enumeration date
08/08/2011
Last updated
06/04/2014
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