Organization
MARK COCKBURN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COCKBURN MD (OWNER)
(914) 310-0926
Entity
Organization
Contact information
Practice address
8201 N UNIVERSITY DR STE 204, TAMARAC, FL 33321-1709
(914) 310-0926
Mailing address
12990 SW 52ND ST, SOUTHWEST RANCHES, FL 33330-2730
(914) 310-0926
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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