Individual
DR. MICHOL ALEXIS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0128
(352) 265-0655
Mailing address
PO BOX 100128, GAINESVILLE, FL 32610-0128
(352) 265-9928
(352) 627-4173
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME136836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100283100
—
FL
Enumeration date
03/22/2010
Last updated
04/18/2025
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