Individual
AMY L. COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 DR CARTER BLVD, BUNNELL, FL 32110-6212
(386) 437-7350
Mailing address
51 RENWORTH LN, PALM COAST, FL 32164-6627
(386) 586-5314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9242220
FL
Other
Enumeration date
08/19/2005
Last updated
12/12/2012
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