Cooper, Robert A

Cooper, Robert A is an individual health care provider with primary practice located at 1341 Medical Park Dr Ste 201, Melbourne FL 32901-3235. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cooper, Robert A can be contacted via phone (321) 953-1225.

Contact Information

Primary practice address
1341 Medical Park Dr Ste 201 Melbourne FL 32901-3235
Phone: (321) 953-1225
Fax: (321) 768-0033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0046874 Florida

Profile Details

NPI number 1578566212
LBN Legal business name Cooper, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Jan 27th, 2010 - about 15 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 1578566212 NPPES
Florida MEDICAID 260898700

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