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NPI Code Detail

MEDICARE: CHRISTOPHER COPPOCK D.O.

MEDICARE: CHRISTOPHER COPPOCK D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS14321FL
2390200000XStudent in an Organized Health Care Education/Training ProgramUO3958FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548677347
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER COPPOCK D.O.
Provider Business Mailing Address
First Line : 5934 LEXINGTON DR
Second Line :
City : PARRISH
State : FL
Zip : 34219-5836
Country : US
Telephone Number : 816-678-7809
Fax Number :
Provider Business Practice Location Address
First Line : 379 6TH AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-8820
Country : US
Telephone Number : 941-782-4100
Fax Number : 941-782-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 01/06/2026

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Directions to “ CHRISTOPHER COPPOCK D.O.” Practice Location

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