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NPI Code Detail

MEDICARE: HALEY COOK CAA

MEDICARE: HALEY COOK CAA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantAA687FL
2367H00000XAnesthesiologist Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043982242
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY COOK CAA
Provider Business Mailing Address
First Line : 12068 BAYONNE ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-6793
Country : US
Telephone Number : 678-863-1870
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-202-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 12/01/2025

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1013913854 — DR. ANNETTE DAVIDSON BELL M.D.
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1699765131 — DR. IAN S CACCAM M.D.
Practice Location Address:
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1740264118 — FLORIDA ANESTHESIA ASSOCIATES P A
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Directions to “ HALEY COOK CAA” Practice Location

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