Organization
COOPER FAMILY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE COOPER D.O. (PHYSICIAN)
(941) 744-5510
Entity
Organization
Contact information
Practice address
5123 4TH AVENUE CIR E, BRADENTON, FL 34208-5620
(941) 744-5510
(941) 744-5166
Mailing address
5123 4TH AVENUE CIR E, BRADENTON, FL 34208-5620
(941) 744-5510
(941) 744-5166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74797
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/20/2006
Last updated
07/24/2024
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