Randi B. Cooperman PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Randi Beth Cooperman PA-C
NPI Number
1164401097
NPI Type
Individual Provider
Gender
Female
Enumeration Date
01/10/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9102710
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 860554
3625 UNIVERSITY BLVD S
City
Orlando
Jacksonville
State
FL
FL
Postal Code
32886-0554
32216-4207
Country
US
US
Telephone Number
(904) 346-3606
(904) 346-3606
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/11/2007
Provider Address
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