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Individual

THOMAS L COOK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4949 TAMIAMI TRAIL N, STE 206, NAPLES, FL 34103
(239) 261-1158
(239) 261-4232
Mailing address
PO BOX 413012, NAPLES, FL 34101-3012
(239) 261-1158
(239) 261-4232

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME17696
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10045
BLUE CROSS BLUE SHIELD
Enumeration date
10/31/2005
Last updated
07/08/2007
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