Coppola, Emily J

Coppola, Emily J is an sole proprietor health care provider with primary practice located at 4020 Lake Worth Rd , Palm Springs FL 33461-3918. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Coppola, Emily J can be contacted via phone (561) 444-3512.

Contact Information

Primary practice address
4020 Lake Worth Rd Palm Springs FL 33461-3918
Phone: (561) 444-3512
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11008076 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11008076 Florida

Profile Details

NPI number 1801408984
LBN Legal business name Coppola, Emily J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2020
Last updated May 8th, 2024 - about 7 months 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 1801408984 NPPES
Florida MEDICAID 117939900

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