Individual
JENNIFER LYNNE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2165 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6637
(727) 375-5044
Mailing address
2165 LITTLE RD, TRINITY, FL 34655-4410
(727) 372-6637
(727) 375-5044
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME95875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95875
MEDICAL LICENSE
FL
Enumeration date
06/06/2006
Last updated
05/18/2022
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