Organization
LAKELAND FOOT & ANKLE CENTER PA
Active
Other names
Gregory G. Cook D.P.M
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY G COOK DPM (PRESIDENT)
(863) 682-3395
Entity
Organization
Contact information
Practice address
1543 LAKELAND HILLS BLVD, STE B, LAKELAND, FL 33805-3246
(863) 682-3395
(863) 802-1225
Mailing address
1543 LAKELAND HILLS BLVD, STE B, LAKELAND, FL 33805-3246
(863) 682-3395
(863) 802-1225
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0002468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480024416
RAILROAD MEDICARE
FL
01
—
65402
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/06/2006
Last updated
03/03/2010
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