Individual
ALBERT E COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
298 SW WALKING PATH, STUART, FL 34997-3038
(561) 714-1281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5182570
FL
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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