Individual
PATRICIA SUSAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
34 S BALDWIN AVENUE, ARCADIA, FL 34266
(863) 993-4601
(863) 993-4574
Mailing address
34 S BALDWIN AVENUE, ARCADIA, FL 34266
(863) 993-4601
(863) 993-4574
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN10215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076092700
—
FL
Enumeration date
10/30/2006
Last updated
08/19/2013
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