Individual
DR. JOHN CASEY COPPEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
86 PONCE DE LEON BLVD, BROOKSVILLE, FL 34601-2818
(352) 796-2141
Mailing address
86 PONCE DE LEON BLVD, BROOKSVILLE, FL 34601-2818
(352) 796-2141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4216
FL
Other
Enumeration date
08/11/2007
Last updated
09/14/2010
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