Individual
MR. MICHAEL R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8955 SW 87TH COURT, STE 108, MIAMI, FL 33176-2264
(305) 412-1218
(305) 412-4151
Mailing address
8955 SW 87TH COURT, STE 108, MIAMI, FL 33176-2264
(305) 412-1218
(305) 412-4151
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1764
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052072100
—
FL
01
—
4055390001
DMERC
FL
01
—
4355616
AETNA
FL
01
—
447744
UNITED HEALTHCARE
FL
01
—
480029345
RAILROAD MEDICARE
FL
01
—
7380395
CIGNA
FL
01
—
87977
BCBS
FL
Enumeration date
11/01/2005
Last updated
09/14/2011
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