Cooper, Steven G

Cooper, Steven G is an individual health care provider with primary practice located at 1874 Se Port St Lucie Blvd , Port St Lucie FL 34952-5545. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cooper, Steven G can be contacted via phone (772) 337-7676.

Contact Information

Primary practice address
1874 Se Port St Lucie Blvd Port St Lucie FL 34952-5545
Phone: (772) 337-7676
Fax: (772) 337-9034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3280702 Florida

Profile Details

NPI number 1528005857
LBN Legal business name Cooper, Steven G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 8th, 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 1528005857 NPPES
Florida MEDICAID 307083200
Florida Other G2315

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