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Johnny Cooper

NPI 1568209831 · on the registry since 2024

Practice

Address
1400 S Park Ave
Sanford, FL 32771
Phone
(321) 262-4793

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida