Cooper, Scott Thomas

Cooper, Scott Thomas is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd Suite 2207, Jacksonville FL 32258-7418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cooper, Scott Thomas can be contacted via phone (904) 652-0800.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd Suite 2207 Jacksonville FL 32258-7418
Phone: (904) 652-0800
Fax: (904) 652-0811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME109775 Florida

Profile Details

NPI number 1821275900
LBN Legal business name Cooper, Scott Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated May 20th, 2016 - about 8 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 1821275900 NPPES
Florida MEDICAID 003837100

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