Individual
DR. JONATHAN D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 WESTON RD, SUITE 103, WESTON, FL 33331-3615
(954) 389-1414
(954) 389-4201
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME56192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374640200
—
FL
Enumeration date
07/22/2005
Last updated
09/20/2022
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