Individual
EUGENE M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 243-4664
(305) 243-8470
Mailing address
5064 SW 141ST AVE, MIRAMAR, FL 33027-5965
(305) 829-5449
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME88452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2682826-00
—
FL
Enumeration date
06/30/2006
Last updated
07/08/2007
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