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NPI Code Detail

MEDICARE: BETH COOPER DC PA

MEDICARE: BETH COOPER DC PA
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
1111N00000XChiropractor0007727FL

General Provider Information

NPI Number : 1457316929
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETH COOPER DC PA
Provider Business Mailing Address
First Line : 3436 N ANDREWS AVE
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33309-6060
Country : US
Telephone Number : 954-390-0818
Fax Number : 954-390-0817
Provider Business Practice Location Address
First Line : 3436 N ANDREWS AVE
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33309-6060
Country : US
Telephone Number : 954-390-0818
Fax Number : 954-390-0817
Authorized Official
Title or Position : PRESIDENT
Name : DR. BETH COOPER
Credential : DC
Telephone Number : 954-390-0818
Provider Enumeration Date : 04/19/2006
Last Update Date : 08/22/2020

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Directions to “BETH COOPER DC PA ” Practice Location

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