Individual
BRIAN W COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2560 N MCMULLEN BOOTH RD, STE B, CLEARWATER, FL 33761-4182
(727) 726-1962
Mailing address
PO BOX 17308, CLEARWATER, FL 33762-0308
(904) 482-1070
(904) 482-1077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0083573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06039
BLUE SHIELD OF FL
FL
05
—
264873300
—
FL
Enumeration date
06/12/2006
Last updated
03/11/2011
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