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Individual

WILLIAM P COONEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
245 HOLLY RD, VERO BEACH, FL 32963-1454
(507) 254-9808
Mailing address
245 HOLLY RD, VERO BEACH, FL 32963-1454

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME91212
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020169000
FL
05
091017100
MN
01
53629
BLUE CROSS BLUE SHEILD FL
FL
01
6194400001
PALMETTO
FL
01
AF120Z
MEDICARE
FL
01
P00462899
MEDICARE RR
FL
Enumeration date
12/21/2005
Last updated
09/17/2019
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