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

Individual provider Physician Assistant · NPI 1336104322

Stacie Michele Cooper, PA is a Physician Assistant in Miami, Florida. Works from 2 locations. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13500 SW 152nd St
Miami, FL 33177-1111
Phone: (786) 596-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 72780 Country Club Dr # B203, Rancho Mirage, CA 92270-4126 — (760) 674-3847

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110738 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA 18243 (CA)

Record details

NPI number1336104322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESJanuary 3, 2019

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