| NPI | 1235752460 |
|---|---|
| Doing Business As | WHEAT L L C |
| Other Name | COOPER MEDICAL MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | REGINA F COOPER Director 305-528-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QH0100X Clinic/Center, Health Services | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |