Organization
INGRID WHITBOURNE-COOKE, O.D.,P.A.
Active
Other names
Whitbourne Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID WHITBOURNE-COOKE O.D. (PRESIDENT)
(954) 572-0888
Entity
Organization
Contact information
Practice address
4181 N PINE ISLAND RD, SUNRISE, FL 33351-6040
(954) 572-0888
Mailing address
4181 N PINE ISLAND RD, SUNRISE, FL 33351-6040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620243800
—
FL
Enumeration date
07/26/2012
Last updated
07/26/2012
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