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AMALIA LENORA COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1257
(352) 273-5670
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 273-5670

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME153369
FL
2086S0102X
Surgical Critical Care Physician
ME153369
FL
2086S0127X
Trauma Surgery Physician
35133250
OH
2086S0127X
Trauma Surgery Physician
376059-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0270336
OH
Enumeration date
10/13/2006
Last updated
11/02/2021
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