Provider Demographics
NPI:1962240150
Name:COOTE, ALLMARIE (CRANIAL PROSTHESIS)
Entity type:Individual
Prefix:MRS
First Name:ALLMARIE
Middle Name:
Last Name:COOTE
Suffix:
Gender:F
Credentials:CRANIAL PROSTHESIS
Other - Prefix:
Other - First Name:ALLMARIE
Other - Middle Name:
Other - Last Name:COOTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1691 FORUM
Mailing Address - Street 2:STE B #2010
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2336
Mailing Address - Country:US
Mailing Address - Phone:561-618-0349
Mailing Address - Fax:
Practice Address - Street 1:1691 FORUM PL STE B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2336
Practice Address - Country:US
Practice Address - Phone:561-618-0349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLB4MZJY3RFZ335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier