Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Cooper, PA-C

Individual provider Medical Physician Assistant · NPI 1063202851

Kimberly Cooper, PA-C is a Physician Assistant in Clearwater, Florida. Qualified in 2025, 1 year ago. Practices with Clearwater Cardiovascular and Interventional Consultants MD PA, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Phone: (239) 404-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9120216 (FL)

Record details

NPI number1063202851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 7, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Clearwater Cardiovascular And Interventional Consultants Md Pa — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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