Individual
DR. SCOTT KOPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
500 NW 43RD STREET, STE 2, GAINESVILLE, FL 32607-6126
(352) 376-5112
(352) 376-0320
Mailing address
500 NW 43RD STREET, STE 2, GAINESVILLE, FL 32607-6126
(352) 376-5112
(352) 376-0320
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
P02501
FL
213E00000X
Podiatrist
Primary
PO 2501
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
P02501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390321400
—
FL
01
—
P00693755
RAILROAD MEDICARE
—
Enumeration date
06/30/2005
Last updated
11/06/2025
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