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NPI Code Detail

MEDICARE: BARRY ALAN COOK M.D.

MEDICARE: BARRY ALAN COOK M.D.
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
1207Q00000XFamily Medicine PhysicianME58860FL

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 : 1942287149
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY ALAN COOK M.D.
Provider Business Mailing Address
First Line : 810 N ROSE AVE
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4944
Country : US
Telephone Number : 407-518-3565
Fax Number : 407-518-3646
Provider Business Practice Location Address
First Line : 700 W OAK ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4924
Country : US
Telephone Number : 407-518-3565
Fax Number : 407-518-3646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 01/28/2022

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Directions to “ BARRY ALAN COOK M.D.” Practice Location

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