Carolyn Cook, AP
Individual provider Active NPI Acupuncturist · Pinecrest, FL
NPI 1366708463 · NPPES record last updated Apr 3, 2012
Key facts
- NPI
- 1366708463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AP974 (FL)
- Practice address
- 9655 S Dixie Hwy
Suite 204
Pinecrest, FL 33156-2813 - Phone
- (305) 665-9711
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP974 | FL | MD | Acupuncturist |
| MA16840 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classical Herbs and Acupuncture, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP974 | FL | Yes |
| Specialist | 174400000X | MA16840 | FL |
Addresses
Primary practice location
9655 S Dixie Hwy
Suite 204
Pinecrest, FL 33156-2813
Mailing address
9655 S Dixie Hwy
Suite 204
Pinecrest, FL 33156-2813
Phone (305) 665-9711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0774 | Other | FL | BCBS |
| C7258 | Other | FL | BCBS |
Other providers in Pinecrest, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.