| Mikayla Emerald Cooper, RD | |
|
4300 Marsh Landing Blvd # 100, Jacksonville Beach, FL 32250-1416 | |
| (904) 947-0531 | |
| Not Available |
| Full Name | Mikayla Emerald Cooper |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 4 Years |
| Location | 4300 Marsh Landing Blvd # 100, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518616374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rebecca Bitzer Ms Rd And Associates Inc | 2264448224 | 13 |
| Provider Name | Rebecca Bitzer Ms Rd & Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043499486 PECOS PAC ID: 2264448224 Enrollment ID: O20060228000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikayla Emerald Cooper, RD 2626 W Perschon Cir, Bluffdale, UT 84065-3743 Ph: (801) 503-5549 | Mikayla Emerald Cooper, RD 4300 Marsh Landing Blvd # 100, Jacksonville Beach, FL 32250-1416 Ph: (904) 947-0531 |
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