1831180702

Everything you always wanted to know about COOK L THOMAS MD but were afraid to ask.

COOK L THOMAS MD

You can also download the this 1831180702 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
COOK L THOMAS MD
Gender:
Male
Enumeration date:
2005-10-31
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
10045 Other BLUE CROSS BLUE SHIELD none

Taxonomies

Taxonomy State License Number Primary?
207LP2900X Pain Medicine FL ME17696 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2392611158
Practice Location Address Telephone Number 2392611158
Mailing Address Fax Number 2392614232
Practice Location Address Fax Number 2392614232

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 413012 STE 206 NAPLES FL 34101 FL
Practice Location Address 4949 TAMIAMI TRAIL N NAPLES FL 34103 FL

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