Andrew John Cooke (NPI# 1477852689, PAC ID# 4789804485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1477852689 |
| PAC ID by PECOS | 4789804485 |
| Professional Enrollment ID | I20161010000352 |
| Full Name | Andrew John Cooke |
| Address |
1822 Salk Ave Tavares FL 32778-4300 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100057 | FLORIDA HOSPITAL WATERMAN |
| Address | Phone | Organization |
|---|---|---|
| 1822 Salk Ave, Tavares, FL 32778-4300 |
| Street Address |
1822 SALK AVE |
| City | TAVARES |
| State | FL |
| Zip | 32778-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Stark | Rheumatology | 1613 Banning Beach Rd, Tavares, FL 32778-2024 | |
| Maxine A Ruddock | Psychologist, Clinical | 322 N Barrow Ave, Tavares, FL 32778-3002 | |
| Karen K Estill | Psychologist, Clinical | 101 E Maud St, Tavares, FL 32778-3249 | |
| Deborah W Ho | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Brian L Boyd | Psychologist, Clinical | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Marvin L Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Juliet Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Amberlee K Henson | Clinical Psychologist | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| David L Frerking | Chiropractic | 915 E Alfred St, Tavares, FL 32778-3401 | |
| Ebony Monique Rollins | Nurse Practitioner | Community Health Centers, Inc | 212 E Main St, Tavares, FL 32778-3808 |
| Find all physicians in zip 32778 | |||
| City | TAVARES |
| Zip Code | 32778 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | TAVARES + ALLERGY/IMMUNOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.