Cooper, Homi S
Cooper, Homi S is an individual health care provider with primary practice located at 390 Challenger Road , Cape Canaveral FL 32920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Cooper, Homi S can be contacted via phone (321) 633-8650.Contact Information
Primary practice address
390 Challenger Road
Cape Canaveral FL 32920
Phone: (321) 633-8650
Fax: (321) 633-8651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | ME69513 | Florida |
Profile Details
| NPI number | 1902809106 |
|---|---|
| LBN Legal business name | Cooper, Homi S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902809106 | NPPES |
| Florida | MEDICAID | 251596200 |
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