Individual
MS. TRACY LYNN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE TAKER PCA
Contact information
Practice address
4374 WISCHAMPER ST, PORT CHARLOTTE, FL 33948-9329
(407) 375-1270
Mailing address
4374 WISCHAMPER ST, PORT CHARLOTTE, FL 33948-9329
(407) 375-1270
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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