CLIFFORD COOPER

ROCKLEDGE, FL
NPI1477555746
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9101412)
Enumeration Date2005-06-01
Last Update Date2008-07-15
Business Address
-- CLIFFORD COOPER PA
110 LONGWOOD AVENUE
ROCKLEDGE, FL 32955-2828
Phone number: 800-476-8646
Mailing Address
-- CLIFFORD COOPER PA
PO BOX 30731
TAMPA, FL 33630-3731
Phone number: 800-476-8646
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