# ELLIOT W COOPERMAN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114247129
- **Authorized official:** ELLIOT W COOPERMAN MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (407) 898-6091

## Contact information

- **Practice address:** 311 E EVANS ST, ORLANDO, FL 32804-4613
- **Practice address phone:** (407) 898-6091
- **Practice address fax:** (407) 896-3452
- **Mailing address:** 311 E EVANS ST, ORLANDO, FL 32804-4613
- **Mailing address phone:** (407) 898-6091
- **Mailing address fax:** (407) 896-3452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2010
- **Last updated:** 12/01/2010