Individual
JEFF D KOPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4423 CENTRAL AVE, ST PETERSBURG, FL 33713-8232
(727) 321-4040
(727) 522-7412
Mailing address
4600 4TH STREET NORTH, ALL FLORIDA ORTHOPAEDIC ASSOCIATES, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
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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