Individual
CHARLENE AYDEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7156 W COLONIAL DR FL 32818, ORLANDO, FL 32818-6751
(863) 242-3322
Mailing address
6850 LAKE NONA BLVD, ORLANDO, FL 32827-7408
(407) 266-1106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME138325
FL
208600000X
Surgery Physician
ME138325
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN20054
FL
Other
Enumeration date
05/22/2014
Last updated
11/14/2022
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