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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801895917 NPPES
Florida MEDICAID 370053400

Popular Providers