Individual
MRS. MARY LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5701 N UNIVERSITY DR, PARKLAND, FL 33067-1703
(954) 518-7500
(954) 518-7501
Mailing address
8687 SW 50TH ST, COOPER CITY, FL 33328-3703
(954) 914-3356
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1944362
FL
363LG0600X
Gerontology Nurse Practitioner
1944362
FL
Other
Enumeration date
06/04/2014
Last updated
09/22/2020
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