Individual
DR. BETH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3436 N ANDREWS AVE, OAKLAND PARK, FL 33309-6060
(954) 390-0818
(954) 390-0817
Mailing address
3436 N ANDREWS AVE, OAKLAND PARK, FL 33309-6060
(954) 390-0818
(954) 390-0817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OOO7727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55873
BLUE CROSS BLUE SHIELD
FL
01
—
P00162652
RAILROAD MEDICARE
FL
Enumeration date
04/20/2006
Last updated
07/08/2007
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