Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Christopher Coppola, DO

Individual provider Dermatology Physician · NPI 1346462181

Dr. John Christopher Coppola, DO is a Dermatology in Ormond Beach, Florida. Qualified in 2005, 21 years ago. Practices with Parks Dermatology Center LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Phone: (386) 677-9044
Fax: (386) 677-3083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 5101016996 (MI)

Record details

NPI number1346462181
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESSeptember 14, 2016
Mailing address400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Parks Dermatology Center Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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