Individual
MR. SCOTT COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5920 JOHNSON ST, SUITE 104, HOLLYWOOD, FL 33021-5652
(954) 399-8587
Mailing address
5920 JOHNSON ST, SUITE 104, HOLLYWOOD, FL 33021-5652
(954) 399-8587
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
ME12188
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO1290
FL
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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