Male or Other

Christian L. Koppel M.D.

Anesthesiology Physician in Jacksonville, FL(View on Map)

Full Name

Christian L Koppel M.D.

NPI Number

1295717460

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/15/2005

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME0043414

Contact
Information

Purpose

Mailing
Location

Address

820 PRUDENTIAL DR
820 PRUDENTIAL DR

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32207-8210
32207-8210

Country

US
US

Telephone Number

(904) 398-3356
(904) 398-3356

Identifiers

Identifier

040168400

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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