JERALD GLENN COOPERSMITH

ST AUGUSTINE, FL
NPI1902821044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9218067)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
Mr. JERALD GLENN COOPERSMITH ARNP
1955 US HIGHWAY 1 S 200
ST AUGUSTINE, FL 32086-3708
Phone number: 904-829-8956
Mailing Address
Mr. JERALD GLENN COOPERSMITH ARNP
51 RENWORTH LN
PALM COAST, FL 32164-6627
Phone number: 386-586-5314
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