Individual
REGINA F COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 NE 203RD ST STE 109, SUITE 109, AVENTURA, FL 33180-1945
(954) 661-7227
(305) 682-8994
Mailing address
2627 NE 203RD ST STE 109, COOPER MEDICAL MANAGEMENT, AVENTURA, FL 33180-1945
(954) 661-7227
(305) 682-8994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CNA407368
FL
172V00000X
Community Health Worker
CNA407368
FL
247ZC0005X
Clinical Laboratory Director (Non-physician)
10D2181154
FL
291U00000X
Clinical Medical Laboratory
10D2181154
FL
376K00000X
Nurse's Aide
Primary
CNA407368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2181154
CLIA NUMBER
FL
01
—
13-64-2027757
BIOMEDICAL WASTE CLINICAL LABORATORY
FL
01
—
2-15
HEALTH, LIFE, ANNUITIES AND VARIABLE CONTRACTS
FL
01
—
6011757
HEALTH CARE CLINIC ESTABLISHMENT
FL
01
—
CNA407368
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
05/21/2020
Last updated
04/23/2026
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