Coppola, Christopher

Coppola, Christopher is an individual health care provider with primary practice located at 1600 36Th St , Vero Beach FL 32960-4875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coppola, Christopher can be contacted via phone (772) 217-4422.

Contact Information

Primary practice address
1600 36Th St Vero Beach FL 32960-4875
Phone: (772) 217-4422
Fax: (772) 217-4460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7719 Florida

Profile Details

NPI number 1003803909
LBN Legal business name Coppola, Christopher
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Apr 7th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003803909 NPPES
Florida MEDICAID 107664800

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