Individual
JUMAHL DONAVAN COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4710 JOHNSON ST, HOLLYWOOD, FL 33021-5316
(954) 662-9742
Mailing address
4710 JOHNSON ST, HOLLYWOOD, FL 33021-5316
(954) 662-9742
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9424112
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
11018892
FL
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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