| Peace Of Mind Internal Medicine Pllc Jennifer A Cooke Sole Mbr | |
|
1675 Tamiami Trl Ste 5 Port Charlotte FL 33948-1042 | |
| (941) 255-8898 | |
| (941) 629-1969 |
| Full Name | Peace Of Mind Internal Medicine Pllc Jennifer A Cooke Sole Mbr |
|---|---|
| Speciality | Internal Medicine |
| Location | 1675 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Jennifer A Cooke (OWNER) |
| Authorized Official Contact | 9412558898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Internal Medicine Pllc Jennifer A Cooke Sole Mbr 1675 Tamiami Trl Ste 5 Port Charlotte FL 33948-1042 Ph: (941) 255-8898 | Peace Of Mind Internal Medicine Pllc Jennifer A Cooke Sole Mbr 1675 Tamiami Trl Ste 5 Port Charlotte FL 33948-1042 Ph: (941) 255-8898 |
| NPI Number | 1740601731 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740601731 | NPI | - | NPPES |
| OS11054 | Other | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS11054 (Florida) | Primary |
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