Cooks, Antranette

Cooks, Antranette is an individual health care provider with primary practice located at 490 Centre Lake Dr Ne Ste 200 , Palm Bay FL 32907-1189. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cooks, Antranette can be contacted via phone (321) 821-4950.

Contact Information

Primary practice address
490 Centre Lake Dr Ne Ste 200 Palm Bay FL 32907-1189
Phone: (321) 821-4950
Fax: (321) 821-4955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X APRN11024510 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11024510 Florida

Profile Details

NPI number 1104523000
LBN Legal business name Cooks, Antranette
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2023
Last updated Aug 17th, 2023 - about last year

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 1104523000 NPPES
Florida MEDICAID 202248493

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