Organization
MICHAEL COOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. COOK O.D. (PRESIDENT/ OPTOMETRIST)
(813) 973-1151
Entity
Organization
Contact information
Practice address
11910 BRUCE B. DOWNS BOULEVARD, TAMPA, FL 33647
(813) 973-1151
Mailing address
3015 SAMARA DR, TAMPA, FL 33618-4305
(813) 935-3507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3439
FL
Other
Enumeration date
08/14/2008
Last updated
01/27/2009
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