Individual
DR. JENNIFER BRADY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
17655 NORTH DALE MABRY, LUTZ, FL 33548-3512
(813) 425-9596
(813) 463-1806
Mailing address
3015 SAMARA DR, TAMPA, FL 33618-4305
(813) 935-3507
(813) 463-1806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC 3566
LICENSE #
FL
Enumeration date
03/05/2007
Last updated
06/25/2008
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