Cogburn, Julia A.

Cogburn, Julia A. is an individual health care provider with primary practice located at 3000 Medical Park Dr Ste 250 , Tampa FL 33613-4679. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Cogburn, Julia A. can be contacted via phone (813) 632-6220.

Contact Information

Primary practice address
3000 Medical Park Dr Ste 250 Tampa FL 33613-4679
Phone: (813) 632-6220
Fax: (813) 971-5893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME100515 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME100515 Florida

Profile Details

NPI number 1245439702
LBN Legal business name Cogburn, Julia A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2007
Last updated Aug 2nd, 2022 - about 2 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 1245439702 NPPES
Florida MEDICAID 000081200

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