Healthcare Provider Details

I. General information

NPI: 1922405695
Provider Name (Legal Business Name): DAVID F. COPPOLA, DC & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103400 OVERSEAS HWY SUITE 241
KEY LARGO FL
33037-2834
US

IV. Provider business mailing address

103400 OVERSEAS HWY SUITE 241
KEY LARGO FL
33037-2834
US

V. Phone/Fax

Practice location:
  • Phone: 305-451-1819
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAVID COPPOLA
Title or Position: PRESIDENT
Credential:
Phone: 305-451-1819