Individual
DORI H COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
1888 HILLVIEW ST, SARASOTA, FL 34239-3605
(941) 917-8383
(941) 917-8930
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-8383
(941) 917-8930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9101417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
09/05/2008
Last updated
09/05/2008
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