Individual
TIMOTHY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
685 PALM SPRINGS DR, STE 2A, ALTAMONTE SPRINGS, FL 32701-7853
(407) 830-5577
(407) 830-4164
Mailing address
685 PALM SPRINGS DR, SUITE 2A, ALTAMONTE SPRINGS, FL 32701-7853
(407) 830-5577
(407) 830-4164
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0072449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251958500
—
FL
Enumeration date
07/21/2005
Last updated
12/17/2009
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