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CLIFFORD COOPER PA
NPI 1477555746
Physician Assistant in Rockledge, FL

Active since June 01, 2005
110 LONGWOOD AVENUE, ROCKLEDGE, FL 32955(800) 476-8646(919) 382-3210 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clifford Cooper Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLIFFORD COOPER PA (NPI 1477555746) is an individual physician assistant in Rockledge, Florida, licensed in Florida (PA9101412) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1477555746
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCLIFFORD COOPERCredential: PA
Location Address110 LONGWOOD AVENUERockledge, FL 32955-2828
Mailing AddressPo Box 30731Tampa, FL 33630-3731 · (800) 476-8646 · Fax (919) 382-3210
Phone(800) 476-8646
Fax(919) 382-3210
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 15, 2008
✔ NPI 1477555746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9101412
Definition
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.
110 LONGWOOD AVENUE, Rockledge, FL 32955
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Other Identifiers 5

Medicare UPINQ24376FL
Medicare ID-Type UnspecifiedU3412YFL · Group # 34457
Medicaid291562600FL
Medicare PINP00309652FL
Medicare ID-Type UnspecifiedU3412ZFL · Group # 45368

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRISOSTOMO V LACANO MD
Radiology (Diagnostic Radiology)
110 LONGWOOD AVENUE
ROCKLEDGE, FL 32955
Brevard County (321) 636-2211
DR. VICTOR TORO MD
Radiology (Diagnostic Radiology)
110 LONGWOOD AVENUE
ROCKLEDGE, FL 32955
Brevard County (321) 636-2211
CHRISTOPHER HILL DO
Emergency Medicine
110 LONGWOOD AVENUE
ROCKLEDGE, FL 32955
Brevard County (800) 476-8646
DR. DOUGLAS R SMITH MD
Radiology (Diagnostic Radiology)
110 LONGWOOD AVENUE
ROCKLEDGE, FL 32955
Brevard County (321) 636-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clifford Cooper's NPI number?

The NPI number for Clifford Cooper is 1477555746. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Clifford Cooper located?

Clifford Cooper practices at 110 Longwood Avenue, Rockledge, FL 32955. The listed phone number is (800) 476-8646.

What is Clifford Cooper's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Clifford Cooper was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.