Provider Demographics
NPI:1285803262
Name:COUPET, SIDNEY (DO)
Entity type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:
Last Name:COUPET
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33008-0091
Mailing Address - Country:US
Mailing Address - Phone:814-449-3605
Mailing Address - Fax:
Practice Address - Street 1:100 E SAMPLE RD STE 300
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3554
Practice Address - Country:US
Practice Address - Phone:786-207-4788
Practice Address - Fax:954-416-6677
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12183207R00000X, 208M00000X
SC87817208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine