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Organization

COPPEDGE AND WOOSTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN HILL COPPEDGE JR. O.D. (VICE PRESIDENT)
(352) 796-2141
Entity
Organization

Contact information

Practice address
86 PONCE DE LEON BLVD, BROOKSVILLE, FL 34601-2818
(352) 796-2141
(352) 796-2325
Mailing address
86 PONCE DE LEON BLVD, BROOKSVILLE, FL 34601-2818
(352) 796-2141
(352) 796-2325

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332H00000X
Eyewear Supplier

Other

Enumeration date
02/15/2008
Last updated
02/03/2009
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