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Individual
MR. MICHAEL DAVID COOK
Active
Individual
MR. MICHAEL DAVID COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106839
FL
363AS0400X
Surgical Physician Assistant
PA9106839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9061842
AETNA
FL
01
—
P01122938
RAILROAD MCR
FL
01
—
P1004405
FREEDOM HEALTH
FL
01
—
P944516
OPTIMUM:
FL
01
—
Y0EH3
BCBS FL
FL
Enumeration date
09/24/2012
Last updated
10/07/2025
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