Individual
CHRISTOPHER COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4100
(941) 782-4101
Mailing address
5934 LEXINGTON DR, PARRISH, FL 34219-5836
(816) 678-7809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS14321
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO3958
FL
Other
Enumeration date
07/14/2014
Last updated
01/06/2026
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