Individual
SHARON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 SW IVORY RD, PORT SAINT LUCIE, FL 34953-2142
(772) 418-9099
Mailing address
2261 SW IVORY RD, PORT SAINT LUCIE, FL 34953-2142
(772) 418-9099
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
FL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
05/09/2024
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