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Individual

DR. EVERETT CORDIE COOPER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CHS-005, KENNEDY SPACE CENTER, FL 32899
(321) 861-8638
Mailing address
468 INDIAN CREEK DR, COCOA BEACH, FL 32931-2834
(321) 783-1236

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
46394
FL

Other

Enumeration date
04/27/2007
Last updated
07/08/2007
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