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Individual
MARK I COCKBURN
Active
Individual
MARK I COCKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-19452
AR
208600000X
Surgery Physician
ME111035
FL
2086S0102X
Surgical Critical Care Physician
E-19452
AR
2086S0102X
Surgical Critical Care Physician
Primary
ME111035
FL
2086S0127X
Trauma Surgery Physician
ME111035
FL
Other
Enumeration date
02/27/2006
Last updated
06/10/2025
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