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Individual
SALLY A. COOPER
Active
Individual
SALLY A. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS9434
FL
207Q00000X
Family Medicine Physician
Primary
OS9434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059197876
BCBS
AL
05
—
273692600
—
FL
01
—
28660
BCBS
FL
Enumeration date
08/22/2005
Last updated
07/28/2011
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