CLIFFORD COOPER (NPI# 1477555746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477555746 |
| Entity Type | Individual |
| Full Name | CLIFFORD COOPER |
| Credential | PA |
| Practice Address |
110 Longwood Avenue Rockledge FL 32955-2828 |
| Mailing Address |
Po Box 30731 Tampa FL 33630-3731 |
| Practice Telephone | 8004768646 |
| Practice Fax Number | 9193823210 |
| Mailing Telephone | 8004768646 |
| Mailing Fax Number | 9193823210 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9101412 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291562600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093806572 | Clifford Lewis Cooper | Internal Medicine | 800 Sw 13th Ave, Portland, OR 97205-1902 | 2006-09-27 |
| 1134168974 | Clifford Cooper | Internal Medicine | 2 Pro Health Plz, Lake Success, NY 11042-1111 | 2006-06-06 |
| Street Address |
110 LONGWOOD AVENUE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778910 | Christopher Hill | Emergency Medicine | 110 Longwood Avenue, Rockledge, FL 32955-0000 | 2005-05-31 |
| 1801860622 | Douglas R Smith | Radiology | 110 Longwood Avenue, Rockledge, FL 32955 | 2006-02-16 |
| 1093789844 | Victor Toro | Radiology | 110 Longwood Avenue, Rockledge, FL 32955 | 2006-02-16 |
| 1063486819 | Crisostomo V Lacano | Radiology | 110 Longwood Avenue, Rockledge, FL 32955 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483260 | Luz Fabiola Bogle | Physician Assistant | 4687 Merlot Dr, Rockledge, FL 32955-5192 | 2020-10-07 |
| 1457995490 | Ashley Lyn Johansson | Physician Assistant | 830 Executive Ln Ste 150, Rockledge, FL 32955-3595 | 2019-11-02 |
| 1801351093 | Francisco Arturo Espinoza | Physician Assistant | 3363 Siderwheel Dr, Rockledge, FL 32955-6027 | 2019-02-01 |
| 1548682941 | Tyler Jack Stoots | Physician Assistant | 1950 Us Highway 1, Rockledge, FL 32955-3763 | 2014-01-20 |
| 1306200522 | Rockledge Emergency Group LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-13 |
| 1538523295 | Rockledge Physician Services, LLC | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2016-04-08 |
| 1841693850 | Lian Szeto | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2014-10-03 |
| 1770816308 | Cindy Capestany Bassford | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2009-09-15 |
| 1952579369 | Elizabeth Anne Meredith | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2008-02-19 |
| 1619082237 | Susan Hammerling-hodgers | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2006-08-21 |
| Find all providers in ROCKLEDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.