Individual
MS. CECILIE LOUISE COCKRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 DON WICKHAM DR STE 125, CLERMONT, FL 34711-1979
(321) 841-7856
(321) 841-1378
Mailing address
1900 DON WICKHAM DR STE 125, CLERMONT, FL 34711-1979
(321) 841-7856
(321) 841-1378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110729
FL
363AM0700X
Medical Physician Assistant
Primary
PA9110729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105583800
—
FL
Enumeration date
09/26/2017
Last updated
04/22/2026
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