Individual
DR. JULIA A. COGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 MEDICAL PARK DR STE 250, TAMPA, FL 33613-4679
(813) 632-6220
(813) 971-5893
Mailing address
PO BOX 102222, ATTN CREDENTIALING DEPT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME100515
FL
207RX0202X
Medical Oncology Physician
Primary
ME100515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081200
—
FL
Enumeration date
07/15/2007
Last updated
08/02/2022
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