person
Marisa P. Cooke, PA
Surgical Physician Assistant in Orlando, Florida
NPI 1639354509

Marisa P. Cooke is a Surgical Physician Assistant based in Orlando, FL and is specialized in Surgical. Marisa P. Cooke practices in Orlando, FL and has the professional credentials of PA. The NPI Number for Marisa P. Cooke is 1639354509 and holds a License No. PA9104877 (Florida).

The current practice location address for Marisa P. Cooke is 22 W Underwood St, Orlando, FL and can be reached out via phone at 407-648-3800 and via fax at 407-425-5203. You can also correspond with Marisa P. Cooke through the mailing address at 22 W UNDERWOOD ST, ORLANDO, FL - 32806-1110 (mailing address contact number: 407-648-3800).

Location: 22 W Underwood St, Orlando, FL, 32806-1110
person
Provider Profile Details
NPI Number
1639354509
Provider Name
Marisa P. Cooke
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
22 W Underwood St, Orlando, FL, 32806-1110
Phone Number
407-648-3800
Fax Number
407-425-5203
Provider Enumeration Date
01/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9104877 01 FL MEDICAL LICENSE
009120300 05 FL
institution
Provider Business Practice Location Address Details
Address
22 W Underwood St
City
State
Zip
32806-1110
Phone Number
407-648-3800
Fax Number
407-425-5203
person
Provider Business Mailing Address Details
Address
22 W Underwood St
City
State
Zip
32806-1110
Phone Number
407-648-3800
Fax Number
407-425-5203
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085.003112 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9104877 (Florida)
Definition
Definition to come...
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