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Individual

DARREN L. COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
131 MAGNOLIA AVE SE, FORT WALTON BEACH, FL 32548-7266
(850) 243-7968
Mailing address
131 MAGNOLIA AVE SE, FORT WALTON BEACH, FL 32548-7266
(850) 243-7968

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5856
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251330700
FL
01
80384
BC BS OF FL
FL
Enumeration date
05/17/2006
Last updated
06/15/2016
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