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DR. EVERETT CORDIE COOPER M.D.

Critical Care Medicine >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1457571630

Individual Registrant:
DR. EVERETT CORDIE COOPER M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
CHS-005  KENNEDY SPACE CENTER, FL 32899 US
Tel: 321-861-8638  Fax: --

Contact information for business:
468 INDIAN CREEK DR  COCOA BEACH, FL 32931-2834 US
Tel: 321-783-1236  Fax: --

Registration Information:
NPI: 1457571630
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RC0200XAllopathic & Osteopathic Physicians
Internal Medicine
Critical Care Medicine
FL46394

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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