person
Richard Martin Coppola, DO
General Practice Physician in Plantation, Florida
NPI 1487673851

Richard Martin Coppola is a General Practice Physician based in Miami, FL. Richard Martin Coppola practices in Plantation, FL and has the professional credentials of DO. The NPI Number for Richard Martin Coppola is 1487673851 and holds a License No. OS003596 (Florida).

The current practice location address for Richard Martin Coppola is 1208 N University Dr, Plantation, FL and can be reached out via phone at 954-583-0412 and via fax at 954-584-3906. You can also correspond with Richard Martin Coppola through the mailing address at 6101 BLUE LAGOON DR STE 400, MIAMI, FL - 33126-2051 (mailing address contact number: 305-500-2000).

Location: 1208 N University Dr, Plantation, FL, 33126-2051
person
Provider Profile Details
NPI Number
1487673851
Provider Name
Richard Martin Coppola
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1208 N University Dr, Plantation, FL, 33126-2051
Phone Number
954-583-0412
Fax Number
954-584-3906
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
592228969 01 FL TAX ID
institution
Provider Business Practice Location Address Details
Address
1208 N University Dr
City
State
Zip
33322-4724
Phone Number
954-583-0412
Fax Number
954-584-3906
person
Provider Business Mailing Address Details
Address
1208 N University Dr
City
State
Zip
33322-4724
Phone Number
954-583-0412
Fax Number
954-584-3906
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
OS003596 (Florida)
Definition
Definition to come...
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