Cooper, Jonathan D

Cooper, Jonathan D is an individual health care provider with primary practice located at 2500 Weston Rd Suite 103, Weston FL 33331-3615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Cooper, Jonathan D can be contacted via phone (954) 389-1414.

Contact Information

Primary practice address
2500 Weston Rd Suite 103 Weston FL 33331-3615
Fax: (954) 389-4201
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME56192 Florida

Profile Details

NPI number 1407856222
LBN Legal business name Cooper, Jonathan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407856222 NPPES
Florida MEDICAID 374640200

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