# USA SPORTS MEDICINE LLC

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

## Provider details

- **NPI number:** 1639700370
- **Authorized official:** DR. MATTHEW COOPER DC (AO/PROVIDER)
- **Authorized official phone:** (305) 935-9599

## Contact information

- **Practice address:** 404 WASHINGTON AVE STE 120, MIAMI BEACH, FL 33139-6651
- **Practice address phone:** (305) 395-9599
- **Practice address fax:** (305) 932-5612
- **Mailing address:** 404 WASHINGTON AVE STE 120, MIAMI BEACH, FL 33139-6651
- **Mailing address phone:** (305) 395-9599
- **Mailing address fax:** (305) 932-5612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2020
- **Last updated:** 01/31/2020
