Organization
EDWARD M. COOPERSMITH & RONALD J. SCOTT, M.D., PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN COOPERSMITH M.B.A. (MANAGER)
(954) 491-3440
Entity
Organization
Contact information
Practice address
5333 N DIXIE HWY, SUITE 201, OAKLAND PARK, FL 33334-3414
(954) 491-3440
(954) 491-8510
Mailing address
5333 N DIXIE HWY, SUITE 201, OAKLAND PARK, FL 33334-3414
(954) 491-3440
(954) 491-8510
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378001500
—
FL
Enumeration date
09/08/2005
Last updated
04/10/2012
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