Individual
DR. MATTHEW I COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
(305) 935-9599
Mailing address
21000 NE 28TH AVE STE 104, AVENTURA, FL 33180-1421
(305) 935-9599
(305) 932-5612
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH7801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201298976
TAX ID
FL
Enumeration date
07/18/2006
Last updated
08/04/2021
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