Kopelman, Jeff D

Kopelman, Jeff D is an sole proprietor health care provider with primary practice located at 4423 Central Ave , St Petersburg FL 33713-8232. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kopelman, Jeff D can be contacted via phone (727) 321-4040.

Contact Information

Primary practice address
4423 Central Ave St Petersburg FL 33713-8232
Phone: (727) 321-4040
Fax: (727) 522-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0002119 Florida

Profile Details

NPI number 1497738900
LBN Legal business name Kopelman, Jeff D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Aug 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497738900 NPPES
Florida Other 65149 BCBS
Florida Other 202493 BCBS
Florida MEDICAID 390062200 BCBS
Florida Other 480013205 BCBS

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