Organization
JOHN S. KOPPMAN MD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S KOPPMAN MD (OWNER)
(904) 826-3469
Entity
Organization
Contact information
Practice address
201 HEALTH PARK BLVD, STE 103, ST AUGUSTINE, FL 32086-5796
(904) 826-3469
Mailing address
201 HEALTH PARK BLVD, STE 103, ST AUGUSTINE, FL 32086-5796
(904) 826-3469
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME93820
FL
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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