| Doctor Name: | ANN KOPELSON |
| NPI Number: | 1154555449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 22178 |
| Business Practice Address: | 3683 Gardenview St Pace, FL - 325717337 |
| Business Phone Number: | 8505123586 |
| Business Fax Number: | |
| Mailing Address: | 3683 Gardenview St, PACE |
| State: | FL |
| Postal Code: | 325717337 |
| Phone Number: | 8505123586 |
| Fax Number: | |
| NPI Enumeration Date: | 05/14/2009 |
| NPI Last Update Date: | 05/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 22178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |