Peace of Mind Internal Medicine PLLC Jennifer a Cooke Sole MBR

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11054 Issued in FL

Legal business name

PEACE OF MIND INTERNAL MEDICINE PLLC JENNIFER A COOKE SOLE MBR

Practice address

1675 Tamiami TRL
Ste 5
Port Charlotte, FL 33948-1042

Phone

(941) 255-8898

Fax

(941) 629-1969

NPI assigned

Dec 18, 2013

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer A Cooke, DONPI 1629273529

Title

Owner

Phone

(941) 255-8898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Anne Cooke, D.O.

  • Internal Medicine Physician
  • Punta Gorda, FL
  • NPI 1629273529
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1740601731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 TAMIAMI TRL",
            "address_2": "STE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481042",
            "telephone_number": "941-255-8898",
            "fax_number": "941-629-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 TAMIAMI TRL",
            "address_2": "STE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481042",
            "telephone_number": "941-255-8898",
            "fax_number": "941-629-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND INTERNAL MEDICINE PLLC JENNIFER A COOKE SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-255-8898",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS11054",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul M Popper MD PA
• Sarah Paul
• Julie Rose Pauly, ARNP
• Hannah Elizabeth Payne, LMHC, NCC
• PCP - Health PLLC
• Peace River Ankle & Foot, PL
• Peace River Cardiovascular Center
• Peace River Hma Nursing Center Inc (Peace River Nursing and Rehabilitation)
• Peace River Physical Therapy & Rehabilitation, LLC
• Peace River Surgery Center

• Internal Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.