Individual
JOEL HEROD COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34535 SHELLBACK ST, LEESBURG, FL 34788-3321
(407) 334-0022
Mailing address
34535 SHELLBACK ST, LEESBURG, FL 34788-3321
(407) 334-0022
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C145428810470
FL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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