Individual
CAMILLE STACEY COOK-CROASDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
APRN9227863
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP9227863
FL
Other
Enumeration date
08/07/2014
Last updated
09/12/2025
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