Cooper, Michael M

Cooper, Michael M is an individual health care provider with primary practice located at 4343 Newberry Rd Suite 2, Gainesville FL 32607-2825. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cooper, Michael M can be contacted via phone (352) 373-2340.

Contact Information

Primary practice address
4343 Newberry Rd Suite 2 Gainesville FL 32607-2825
Phone: (352) 373-2340
Fax: (352) 373-3140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101612 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101612 Florida

Profile Details

NPI number 1275731770
LBN Legal business name Cooper, Michael M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated May 24th, 2024 - about 7 months 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 1275731770 NPPES
Florida MEDICAID 113484200

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