Individual
MR. MALCOLM COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
787 37TH ST STE 140, VERO BEACH, FL 32960-7305
(772) 257-8224
(772) 252-3245
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 252-3245
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11019878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120499400
—
FL
01
—
APRN11019878
MEDICAL LICENSE
FL
Enumeration date
08/29/2014
Last updated
01/16/2025
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