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Organization
LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA
Active
Organization
LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA
Active
Other names
Lake Allergy, Asthma and Immunology, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J COOKE MD (PRESIDENT)
(954) 609-0140
Entity
Organization
Contact information
Practice address
1936 SALK AVE, TAVARES, FL 32778-4310
(525) 531-7173
(888) 220-7924
Mailing address
PO BOX 987, MOUNT DORA, FL 32756-0987
(954) 609-0140
(888) 220-7924
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME118840
FL
Other
Enumeration date
06/13/2018
Last updated
04/01/2026
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