Cooke, Marisa P.

Cooke, Marisa P. is an sole proprietor health care provider with primary practice located at 22 W Underwood St , Orlando FL 32806-1110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Cooke, Marisa P. can be contacted via phone (407) 648-3800.

Contact Information

Primary practice address
22 W Underwood St Orlando FL 32806-1110
Phone: (407) 648-3800
Fax: (407) 425-5203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104877 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.003112 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104877 Florida

Profile Details

NPI number 1639354509
LBN Legal business name Cooke, Marisa P.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2008
Last updated Jun 20th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639354509 NPPES
Florida Other PA9104877 MEDICAL LICENSE
Florida MEDICAID 009120300 MEDICAL LICENSE

Popular Providers