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Individual
STEPHANIE MARIE COOK
Active
Individual
STEPHANIE MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9112938
FL
207NS0135X
Procedural Dermatology Physician
PA9112938
FL
363A00000X
Physician Assistant
Primary
PA9112938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9112938
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
01/17/2020
Last updated
05/20/2025
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