Cooper, Brian W

Cooper, Brian W is an individual health care provider with primary practice located at 3599 University Blvd S Bldg. 500, Ste. 504, Jacksonville FL 32216-4252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Cooper, Brian W can be contacted via phone (904) 398-5614.

Contact Information

Primary practice address
3599 University Blvd S Bldg. 500, Ste. 504 Jacksonville FL 32216-4252
Fax: (904) 398-5617
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME114000 Florida

Profile Details

NPI number 1023032307
LBN Legal business name Cooper, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Apr 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023032307 NPPES
Florida Other 001229087 MEDICARE ID

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