Individual
SCOTT ELLIS KOOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9312 DEER CREEK DR, TAMPA, FL 33647-2286
(813) 575-9993
(813) 575-9993
Mailing address
9312 DEER CREEK DR, TAMPA, FL 33647-2286
(813) 575-9993
(813) 575-9993
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
110838
FL
207L00000X
Anesthesiology Physician
Primary
30200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64030208
—
KY
Enumeration date
06/17/2005
Last updated
11/01/2021
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