Cook, Ralph Duane

Cook, Ralph Duane is an individual health care provider with primary practice located at 801 E Dixie Ave , Leesburg FL 34748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Cook, Ralph Duane can be contacted via phone (352) 742-1171.

Contact Information

Primary practice address
801 E Dixie Ave Leesburg FL 34748
Phone: (352) 742-1171
Fax: (352) 742-7241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME75508 Florida

Profile Details

NPI number 1689602161
LBN Legal business name Cook, Ralph Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689602161 NPPES
Florida Other 42936A BCBS FL
Florida MEDICAID 253974800 BCBS FL
Florida Other 42936B BCBS FL
Florida Other 42936 BCBS FL

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