Individual
CRYSTAL A COPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9800
(239) 343-9848
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013114
NY
363A00000X
Physician Assistant
Primary
PA9111856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115449500
—
FL
Enumeration date
06/16/2009
Last updated
10/11/2022
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