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1346462181
JOHN CHRISTOPHER COPPOLA
ORMOND BEACH, FL
NPI
1346462181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: MI 5101016996)
Enumeration Date
2007-05-02
Last Update Date
2016-09-14
Business Address
Dr. JOHN CHRISTOPHER COPPOLA DO
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174-5157
Phone number: 386-677-9044
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Mailing Address
Dr. JOHN CHRISTOPHER COPPOLA DO
400 LAKEBRIDGE PLAZA DR
ORMOND BEACH, FL 32174-5157
Phone number: 386-677-9044
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