MEDICARE: STEPHANIE COOPER

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1407213218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE COOPER

Provider Business Mailing Address
First Line	:	4751 N GOLDENROD RD APT A
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-9091
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	587 E STATE ROAD 434 UNIT 1021
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5284
Country	:	US
Telephone Number	:	407-331-8002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2016
Last Update Date	:	01/25/2016

Similar Medicare Providers

1588593115 — JASMINE LYNETTE TEJADA PMHNP
Practice Location Address:

587 E STATE ROAD 434 UNIT 1025
LONGWOOD, FL
32750-5284

Practice Phone: 347-452-6217
Practice Fax:

1538198783 — CFA KIDNEY & HYPERTENSION CENTER LLC
Practice Location Address:

587 E STATE ROAD 434 , SUITE 1011
LONGWOOD, FL
32750-5284

Practice Phone: 321-214-4133
Practice Fax: 321-214-4216

1700038486 — MRS. NILMA ZULEIKA ELIAS-SANTIAGO PT
Practice Location Address:

587 E STATE ROAD 434 UNIT 1021
LONGWOOD, FL
32750-5284

Practice Phone: 321-972-3238
Practice Fax: 321-972-3590

1033512629 — LYDIA OYOLA-DIAZ M.ED
Practice Location Address:

587 E STATE ROAD 434 UNIT 1021
LONGWOOD, FL
32750-5284

Practice Phone: 407-331-8002
Practice Fax: 407-331-8659

1184075392 — BERNADETTE MCKENZIE
Practice Location Address:

587 E SR 434 UNIT 1021
LONGWOOD, FL
32750-5284

Practice Phone: 407-331-8002
Practice Fax:

1609332402 — RENATA HUEWITT LPC, LMHC
Practice Location Address:

587 E SR 434 UNIT 1021B
LONGWOOD, FL
32750-5284

Practice Phone: 407-565-7942
Practice Fax:

Directions to “ STEPHANIE COOPER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.