Coppola, Anthony J
Coppola, Anthony J is an individual health care provider with primary practice located at 515 W State Road 434 Suite 110A, Longwood FL 32750-4981. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Coppola, Anthony J can be contacted via phone (407) 260-6000.Contact Information
Primary practice address
515 W State Road 434 Suite 110A
Longwood FL 32750-4981
Phone: (407) 260-6000
Fax: (407) 260-2133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME54590 | Florida |
Other Service Providers / Specialist | 174400000X | ME54590 | Florida |
Profile Details
NPI number | 1801895917 |
---|---|
LBN Legal business name | Coppola, Anthony J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2005 |
Last updated | Aug 29th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801895917 | NPPES |
Florida | MEDICAID | 370053400 |
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