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Individual

ASHELY COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4701 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(813) 245-5085
Mailing address
PO BOX 700455, SAINT CLOUD, FL 34770-0455
(813) 245-5085

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11000340
FL

Other

Enumeration date
11/28/2018
Last updated
01/16/2025
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