=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962353482
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COOK MEDICAL ASSOCIATES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/09/2026
-----------------------------------------------------
Last Update Date | 02/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3301 SW 34TH CIR STE 302
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34474-6615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-873-7500
-----------------------------------------------------
Fax | 352-861-7501
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3301 SW 34TH CIR STE 302
-----------------------------------------------------
City | OCALA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34474-6615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-873-7500
-----------------------------------------------------
Fax | 352-861-7501
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. CALVIN LOUIS COOK JR.
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 352-433-5556
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------