Individual
MATTHEW COOKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2356 CASEY LN, FLEMING ISLAND, FL 32003-8771
(904) 657-8485
Mailing address
21756 STATE ROAD 54, STE 102, LUTZ, FL 33549-2905
(727) 475-5540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4449
FL
Other
Enumeration date
06/08/2016
Last updated
02/19/2021
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