Individual
MR. ANDREW COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
(813) 654-6644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100900
—
FL
01
—
01422738
AMERIGROUP
FL
01
—
Y06WQ
BC/BS OF FLORIDA
FL
Enumeration date
01/03/2011
Last updated
09/12/2011
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