Individual
DANIEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2021-00152
NC
2085N0700X
Neuroradiology Physician
Primary
ME150904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114862600
—
FL
01
—
PP933
MEDICARE PTAN OHRI
FL
01
—
PP935
MEDICARE PTAN OHMG
FL
01
—
QHGK6
BCBS
FL
Enumeration date
04/01/2016
Last updated
03/27/2023
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