Cooper, Sally A.

Cooper, Sally A. is an individual health care provider with primary practice located at 221 Hospital Dr Ne , Fort Walton Beach FL 32548-5066. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cooper, Sally A. can be contacted via phone (850) 833-9240.

Contact Information

Primary practice address
221 Hospital Dr Ne Fort Walton Beach FL 32548-5066
Phone: (850) 833-9240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9434 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS9434 Florida

Profile Details

NPI number 1487646725
LBN Legal business name Cooper, Sally A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 28th, 2011 - about 13 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 1487646725 NPPES
Florida MEDICAID 273692600
Florida Other 059197876
Florida Other 28660

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