Individual
DR. ELLIOT W COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 E EVANS ST, ORLANDO, FL 32804-4613
(407) 898-6091
(407) 896-3452
Mailing address
311 E EVANS ST, ORLANDO, FL 32804-4613
(407) 898-6091
(407) 896-3452
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0034891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004355807
HUMANA
FL
01
—
0052241
GHI
FL
01
—
032439411013
CIGNA
FL
05
—
065572400
—
FL
01
—
180000687
RAIL ROAD MEDICARE
FL
01
—
4008330
AETNA PPO/PPS
FL
01
—
898092
AETNA HMO
FL
Enumeration date
05/12/2006
Last updated
03/20/2012
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