Individual
GEORGE E KOPIDAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 LEE BLVD, SUITE 1100, LEHIGH ACRES, FL 33936-4893
(239) 368-0241
Mailing address
1530 LEE BLVD, SUITE 1100, LEHIGH ACRES, FL 33936-4893
(239) 368-0241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MA05921000
NJ
208600000X
Surgery Physician
Primary
ME74612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009552700
—
FL
01
—
0900046
CIGNA
FL
01
—
14R8X
BCBS OF FL
FL
01
—
367678
AVMED
FL
01
—
802555
WELLCARE
FL
01
—
P01214443
RAILROAD MCR
FL
01
—
P1011919
FREEDOM HEALTH
FL
01
—
P951167
OPTIMUM
FL
Enumeration date
11/22/2005
Last updated
04/24/2018
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