Individual
CAROL DIANE COOPER-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 POWERS RIDGE CT, ORLANDO, FL 32808-2302
(407) 294-6679
(407) 294-6679
Mailing address
3701 POWERS RIDGE CT, ORLANDO, FL 32808-2302
(321) 624-7506
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230432500
—
FL
Enumeration date
10/05/2006
Last updated
02/07/2019
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