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John W. Cooke, D.O., P.A

Internal Medicine in Tavares, FL. Organization (NPI-2).

NPI number1750577458
StatusActive
Last updated in NPPESOct 22, 2025

Details

NPI
1750577458
Entity type
Organization (NPI-2)
Legal business name
John W. Cooke, D.O., P.A
Organization subpart
No
Enumeration date
Sep 18, 2007
Certification date
Oct 22, 2025
Last updated
Oct 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOS4437FLYes

Practice location

2038 Classique Ln
Tavares, FL 32778-5787

Phone 352-357-3107 · Fax 352-357-9971

Mailing address

2038 Classique Ln
Tavares, FL 32778-5787

Phone 352-357-3107 · Fax 352-357-9971

Authorized official

John W Cooke
Owner/President
3523573107

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