Individual
ANABELLE COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8785 SW 165TH AVE STE 103, MIAMI, FL 33193-5827
(786) 206-6500
Mailing address
4925 SW 91ST AVE, MIAMI, FL 33165-6663
(305) 726-4938
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SS1210
FL
Other
Enumeration date
05/10/2018
Last updated
10/30/2019
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