Healthcare Provider Details

I. General information

NPI: 1073837910
Provider Name (Legal Business Name): MICHOL ALEXIS COOPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2352 BRUCE B DOWNS BLVD STE 201
WESLEY CHAPEL FL
33544-9203
US

IV. Provider business mailing address

38135 MARKET SQUARE DR
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-8160
  • Fax: 813-355-5065
Mailing address:
  • Phone: 813-788-8160
  • Fax: 813-355-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME136836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: