Cook, Abby Lee
Cook, Abby Lee is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3585. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cook, Abby Lee can be contacted via phone (321) 434-8777.Contact Information
Primary practice address
701 W Cocoa Beach Cswy
Cocoa Beach FL 32931-3585
Phone: (321) 434-8777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9118717 | Florida |
Profile Details
| NPI number | 1144906082 |
|---|---|
| LBN Legal business name | Cook, Abby Lee |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2023 |
| Last updated | Jun 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144906082 | NPPES |
| Florida | Other | SW788 | MEDICARE HF |
| Florida | MEDICAID | 122145300 | MEDICARE HF |
| Florida | Other | S3420 | MEDICARE HF |
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