Individual
DR. DIANE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
763 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-5527
(904) 704-3309
Mailing address
PO BOX 2928, PALM BEACH, FL 33480-2928
(561) 655-1747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2651
FL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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