Individual
SHARON DIANNE COPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7186 COON RD, NORTH FORT MYERS, FL 33917-3207
(863) 233-9023
Mailing address
7186 COON RD, NORTH FORT MYERS, FL 33917-3207
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762670300
—
FL
05
—
811627000
—
FL
Enumeration date
12/11/2006
Last updated
02/24/2011
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