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NPI Code Detail

MEDICARE: DR. ROBERT J COOPER MD

MEDICARE:  DR. ROBERT J COOPER  MD
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
1174400000XSpecialistME0065025FL
2208000000XPediatrics PhysicianME0065025FL

Other Identifiers

General Provider Information

NPI Number : 1588601173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J COOPER MD
Provider Business Mailing Address
First Line : PO BOX 191
Second Line : PROVIDER ENROLLMENT DEPARTMENT
City : ROCKLAND
State : DE
Zip : 19732-0191
Country : US
Telephone Number : 302-651-4488
Fax Number : 302-651-4945
Provider Business Practice Location Address
First Line : 5018 DR PHILLIPS BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32819-3310
Country : US
Telephone Number : 407-363-5753
Fax Number : 407-351-2141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 03/28/2014

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Directions to “ DR. ROBERT J COOPER MD” Practice Location

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