Mark J. Cooper in Crestview - Family Medicine
Mark J. Cooper - NPI 1063481182
Mark J. Cooper is a Family Medicine in Crestview, Florida. Mark J. Cooper practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark J. Cooper is 1063481182. The last update date is 2010-06-24.
Mark J. Cooper's current location address is 550 Redstone Ave W, Crestview, Florida. You can contact this provider via phone number 8506826122 and fax number 8506825917. The mailing address for Mark J. Cooper is 550 Redstone Ave W, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J. Cooper |
|---|---|
| Address | 550 Redstone Ave W, Crestview, Florida |
| Phone Number | 8506826122 |
| Fax Number | 8506825917 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063481182 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2010-06-24 |
Provider Mailing Address Detail
| Address | 550 Redstone Ave W |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325366430 |
| Phone Number | 8506826122 |
| Fax Number | 8506825917 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME90602 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 271080300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark J. Cooper by the Centers for Medicare & Medicaid Services?
The Mark J. Cooper has been assigned the NPI (National Provider Identifier) 1063481182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mark J. Cooper is geographically located?
The Mark J. Cooper is physically situated at the following location: 550 Redstone Ave W, Crestview, FL, 325366430.
What is Mark J. Cooper's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark J. Cooper's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Mark J. Cooper receive its 1063481182 assignment from the Centers for Medicare & Medicaid Services?
The Mark J. Cooper was assigned its 1063481182 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information regarding Mark J. Cooper, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark J. Cooper, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-24.