SALLY A COOPER DO

FLORIDA DEPARTMENT OF HEALTH

Dr SALLY A COOPER DO is a female medical professional, specializing in Family Medicine. She graduated in 1999 from Philadelphia College Of Osteopathic Medicine.

Contact

FLORIDA DEPARTMENT OF HEALTH

810 E JAMES LEE BLVD
CRESTVIEW
FL
325393118

Tel: 8506897808

SALLY A COOPER DO Information

Npi 1487646725
Pac Id 4082649736
Professional Enrollment Id I20050930000304
Last Name COOPER
First Name SALLY
Middle Name A
Suffix
Gender F
Credential DO
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1999
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 EMERGENCY MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties EMERGENCY MEDICINE
Organization Legal Name FLORIDA DEPARTMENT OF HEALTH
Group Practice Pac Id 3072424282
Number Of Group Practice Members 141
Line 1 Street Address 810 E JAMES LEE BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CRESTVIEW
State FL
Zip Code 325393118
Phone Number 8506897808
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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