Provider Demographics
NPI:1215255427
Name:COOPER, CHERYL HARRIS (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:HARRIS
Last Name:COOPER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 CONROY WINDERMERE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-2689
Mailing Address - Country:US
Mailing Address - Phone:407-704-1461
Mailing Address - Fax:407-704-1501
Practice Address - Street 1:7601 CONROY WINDERMERE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2689
Practice Address - Country:US
Practice Address - Phone:407-704-1461
Practice Address - Fax:407-704-1501
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9214022363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health