Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | DR.0062161 | CO |
Y | 208600000X | Surgeon | DR.0062161 | CO |
N | 208200000X | Surgeon | OS014254 | PA |
N | 208600000X | Surgeon | OS014254 | PA |
N | 208200000X | Surgeon | OS14919 | FL |
N | 208600000X | Surgeon | OS14919 | FL |
NPI | 1003812942 |
---|---|
Provider Name | Dr. Joseph A Cocco |
First Address | Tampa, FL 33624-1871 |
Second Address | Lakewood, CO 80228-1859 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 15/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H69241 | (02) |