Doctor Name: | GREGORY GERARD COOK |
NPI Number: | 1174711204 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | PO0002468 |
Business Practice Address: | 318 Eighth Avenue North St. Petersburg, FL - 33701 |
Business Phone Number: | 7278245100 |
Business Fax Number: | 7278245132 |
Mailing Address: | 318 Eighth Avenue North, ST. PETERSBURG |
State: | FL |
Postal Code: | 33701 |
Phone Number: | 7278245100 |
Fax Number: | 7278245132 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | PO0002468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |