Mary Lynn Cooper, N.P.
Otolaryngology in Parkland, FL. Individual provider (NPI-1).
NPI number1194138586
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1194138586
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Lynn Cooper
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2014
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 1944362 | FL | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 1944362 | FL |
Practice location
5701 N University DrParkland, FL 33067-1703
Phone 954-518-7500 · Fax 954-518-7501
Mailing address
8687 Sw 50th StCooper City, FL 33328-3703
Phone 954-914-3356
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