Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | OS11829 | FL |
NPI | 1255531455 |
---|---|
Provider Name | Dr. Erin Marie Cockrell |
First Address | Clearwater, FL 33757-8744 |
Second Address | Tampa, FL 33607-6307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 23/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0071523-00 | (05) | FL |