Coopersmith, Jerald Glenn

Coopersmith, Jerald Glenn is an individual health care provider with primary practice located at 1955 Us Highway 1 S 200, St Augustine FL 32086-3708. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Coopersmith, Jerald Glenn can be contacted via phone (904) 829-8956.

Contact Information

Primary practice address
1955 Us Highway 1 S 200 St Augustine FL 32086-3708
Phone: (904) 829-8956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9218067 Florida

Profile Details

NPI number 1902821044
LBN Legal business name Coopersmith, Jerald Glenn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 19 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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