Cook, Malcolm

Cook, Malcolm is an individual health care provider with primary practice located at 787 37Th St Ste 140 , Vero Beach FL 32960-7305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cook, Malcolm can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
787 37Th St Ste 140 Vero Beach FL 32960-7305
Fax: (772) 252-3245
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11019878 Florida

Profile Details

NPI number 1588064208
LBN Legal business name Cook, Malcolm
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2014
Last updated Jan 16th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588064208 NPPES
Florida Other APRN11019878 MEDICAL LICENSE
Florida MEDICAID 120499400 MEDICAL LICENSE

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