Individual
MICHAEL CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 CAMP RD, COCOA, FL 32927-3708
(321) 690-1500
Mailing address
923 COSTA MESA LN, KISSIMMEE, FL 34744-7235
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
APRN11020834
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11020834
FL
Other
Enumeration date
09/02/2022
Last updated
03/08/2023
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