Provider Demographics
NPI:1871940106
Name:NEIL J. KOPPEL, D.C., P.A.
Entity type:Organization
Organization Name:NEIL J. KOPPEL, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-214-0214
Mailing Address - Street 1:4500 EXECUTIVE DR
Mailing Address - Street 2:SUITE 330
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8939
Mailing Address - Country:US
Mailing Address - Phone:239-214-0214
Mailing Address - Fax:
Practice Address - Street 1:4500 EXECUTIVE DR
Practice Address - Street 2:SUITE 330
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8939
Practice Address - Country:US
Practice Address - Phone:239-214-0214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty