Individual
DR. JOHN S KOPPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 HEALTH PARK BLVD, SUITE 103, ST AUGUSTINE, FL 32086-5796
(904) 827-0093
Mailing address
201 HEALTH PARK BLVD, SUITE 103, ST AUGUSTINE, FL 32086-5796
(904) 827-0093
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0093820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273240800
—
FL
Enumeration date
04/11/2006
Last updated
10/15/2014
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