Individual
DR. ANDREW JEREMY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 MORTON PLANT ST, SUITE 301, CLEARWATER, FL 33756-3398
(727) 461-6026
(727) 461-1492
Mailing address
430 MORTON PLANT ST, STE 301, CLEARWATER, FL 33756-3398
(727) 461-6026
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME104234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001294100
—
FL
01
—
P00757172
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
05/30/2007
Last updated
10/01/2012
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