Individual
STEPHANIE NICOLE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4705 ALT 19 STE B, PALM HARBOR, FL 34683-1424
(727) 787-4875
(727) 786-9623
Mailing address
225 TROPIC BLVD W, LARGO, FL 33770-2104
(702) 292-9760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO4046
FL
207RC0000X
Cardiovascular Disease Physician
Primary
OS16128
FL
Other
Enumeration date
07/09/2014
Last updated
11/23/2020
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