Individual
MICHAEL COGDILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1750 N BROADWAY AVE, BARTOW, FL 33830-3103
(863) 533-2030
(863) 519-9096
Mailing address
PO BOX 1838, LAKELAND, FL 33802-1838
(863) 687-0931
(863) 687-4021
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP1397132
FL
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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