Individual
ADAM LEE COPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
85 N 4TH ST, MACCLENNY, FL 32063-2109
(904) 259-2935
Mailing address
2130 TIMBER CREEK CT S, JACKSONVILLE, FL 32221-1945
(904) 226-3494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9336485
FL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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