Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Emil Copty, MD

Individual provider Internal Medicine Physician · NPI 1174102792

Michael Emil Copty, MD is an Internal Medicine in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9504 Crosshill Blvd Ste 108
Jacksonville, FL 32222-5851
Phone: (904) 308-7792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME174844 (FL)

Record details

NPI number1174102792
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2021
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address9504 Crosshill Blvd Ste 108, Jacksonville, FL 32222-5851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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