Cooper, Homi S

Cooper, Homi S is an individual health care provider with primary practice located at 390 Challenger Road , Cape Canaveral FL 32920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Cooper, Homi S can be contacted via phone (321) 633-8650.

Contact Information

Primary practice address
390 Challenger Road Cape Canaveral FL 32920
Phone: (321) 633-8650
Fax: (321) 633-8651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X ME69513 Florida

Profile Details

NPI number 1902809106
LBN Legal business name Cooper, Homi S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 21st, 2022 - about 4 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 1902809106 NPPES
Florida MEDICAID 251596200

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