Individual
DR. ALYSSA COOKIE TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 W. TIMBERLANE DR., SUITE 400, TAMPA, FL 33566-0957
(813) 321-6677
(813) 754-9142
Mailing address
1601 W TIMBERLANE DR STE 400, PLANT CITY, FL 33566-0957
(813) 321-6677
(813) 443-8153
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0086121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266257400
—
FL
Enumeration date
06/17/2006
Last updated
08/22/2022
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