Coppola, Robert C.

Coppola, Robert C. is an sole proprietor health care provider with primary practice located at 2900 W Cypress Creek Rd Suite 1, Fort Lauderdale FL 33309-1715. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Coppola, Robert C. can be contacted via phone (954) 979-2191.

Contact Information

Primary practice address
2900 W Cypress Creek Rd Suite 1 Fort Lauderdale FL 33309-1715
Phone: (954) 979-2191
Fax: (954) 977-3822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1910 Florida

Profile Details

NPI number 1780672295
LBN Legal business name Coppola, Robert C.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Jul 16th, 2025 - about last year

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 1780672295 NPPES
Florida MEDICAID 078397800

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