Individual
DR. HOMI S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 CHALLENGER ROAD, CAPE CANAVERAL, FL 32920
(321) 633-8650
(321) 633-8651
Mailing address
805 CENTURY MEDICAL DRIVE, SUITE C, TITUSVILLE, FL 32796
(321) 633-8650
(321) 633-8651
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
ME69513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251596200
—
FL
Enumeration date
05/23/2005
Last updated
07/21/2022
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