Organization
LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA
Active
Other names
Lake Allergy, Asthma and Immunology, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J COOKE MD (PRESIDENT)
(954) 609-0140
Entity
Organization
Contact information
Practice address
1936 SALK AVE, TAVARES, FL 32778-4310
(525) 531-7173
(888) 220-7924
Mailing address
PO BOX 987, MOUNT DORA, FL 32756-0987
(954) 609-0140
(888) 220-7924
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME118840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G0U6
BCBS
FL
Enumeration date
06/13/2018
Last updated
04/01/2026
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