Individual
JORDAN SPENCER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
9726 TOUCHTON RD STE 104, JACKSONVILLE, FL 32246-8305
(904) 421-1221
Mailing address
211 E 4TH ST, JACKSONVILLE, FL 32206-4556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOC340609
BOARD OF CERTIFICATION FOR ATHLETIC TRAINING (BOC)
—
Enumeration date
08/21/2019
Last updated
08/21/2019
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