Individual
CHRISTIAN L KOPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Mailing address
820 PRUDENTIAL DR, SUITE 606, JACKSONVILLE, FL 32207-8210
(904) 398-3356
(904) 398-5397
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0043414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040168400
—
FL
Enumeration date
11/15/2005
Last updated
07/08/2007
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