Cockburn, Mark

Cockburn, Mark is an individual health care provider with primary practice located at 11760 Bird Rd Suite 722, Miami FL 33175-3582. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Cockburn, Mark can be contacted via phone (305) 559-1883.

Contact Information

Primary practice address
11760 Bird Rd Suite 722 Miami FL 33175-3582
Phone: (305) 559-1883
Fax: (305) 559-1887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME111035 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME111035 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME111035 Florida

Profile Details

NPI number 1891761128
LBN Legal business name Cockburn, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Sep 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891761128 NPPES
Florida MEDICAID 006267200

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