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Individual

DR. JOHN CHRISTOPHER COPPOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174-5157
(386) 677-9044
(386) 677-3083
Mailing address
400 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174-5157
(386) 677-9044
(386) 677-3083

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101016996
MI

Other

Enumeration date
05/02/2007
Last updated
09/14/2016
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