Individual
ANTHONY J COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 W STATE ROAD 434, SUITE 110A, LONGWOOD, FL 32750-4981
(407) 260-6000
(407) 260-2133
Mailing address
515 W STATE ROAD 434, SUITE 110A, LONGWOOD, FL 32750-4981
(407) 260-6000
(407) 260-2133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME54590
FL
207RG0100X
Gastroenterology Physician
Primary
ME54590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370053400
—
FL
Enumeration date
07/20/2005
Last updated
08/29/2020
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