Individual
DR. JOHN HILL COPPEDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
86 PONCE DE LEON BLVD, BROOKSVILLE, FL 34601
(352) 796-2141
(352) 796-2325
Mailing address
86 PONCE DE LEON BLVD, BROOKSVILLE, FL 34601
(352) 796-2141
(352) 796-2325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC000914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035728600
—
FL
Enumeration date
07/17/2006
Last updated
10/27/2011
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