Cooper, Sharrell

Cooper, Sharrell is an individual health care provider with primary practice located at 1 Memorial Medical Pkwy Ste 201 , Palm Coast FL 32164-5979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cooper, Sharrell can be contacted via phone (386) 445-4750.

Contact Information

Primary practice address
1 Memorial Medical Pkwy Ste 201 Palm Coast FL 32164-5979
Phone: (386) 445-4750
Fax: (386) 445-4751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 117633 Florida

Profile Details

NPI number 1588094130
LBN Legal business name Cooper, Sharrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2013
Last updated Feb 8th, 2026 - about 9 months 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 1588094130 NPPES
Florida MEDICAID 015025500

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