Cooper-Brown, Carol Diane

Cooper-Brown, Carol Diane is an sole proprietor health care provider with primary practice located at 3701 Powers Ridge Ct , Orlando FL 32808-2302. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Cooper-Brown, Carol Diane can be contacted via phone (407) 294-6679.

Contact Information

Primary practice address
3701 Powers Ridge Ct Orlando FL 32808-2302
Phone: (407) 294-6679
Fax: (407) 294-6679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1215023502
LBN Legal business name Cooper-Brown, Carol Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Feb 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215023502 NPPES
Florida MEDICAID 230432500

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