Kooperman, Scott Ellis

Kooperman, Scott Ellis is an individual health care provider with primary practice located at 9312 Deer Creek Dr , Tampa FL 33647-2286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kooperman, Scott Ellis can be contacted via phone (813) 575-9993.

Contact Information

Primary practice address
9312 Deer Creek Dr Tampa FL 33647-2286
Phone: (813) 575-9993
Fax: (813) 575-9993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 110838 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30200 Kentucky

Profile Details

NPI number 1558366310
LBN Legal business name Kooperman, Scott Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Nov 1st, 2021 - 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 1558366310 NPPES
Kentucky MEDICAID 64030208

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