NPI 1003518184
Benjamin Robert Cooper, DO
Practice location
- Address
- 2001 Kingsley Ave, Orange Park, FL 32073-5148
- Phone
- (904) 639-8500
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003518184
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Mar 2023
- Record last updated
- 21 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.