Individual
MARIA M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 S PONCE DE LEON BLVD STE 3B, ST AUGUSTINE, FL 32084-6013
(813) 321-1786
(813) 321-1787
Mailing address
18228 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME133785
FL
Other
Enumeration date
05/17/2016
Last updated
11/04/2025
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