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NPI Code Detail

MEDICARE: MR. DAVID S. COHEN ATC

MEDICARE: MR. DAVID S. COHEN ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1407264005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID S. COHEN ATC
Provider Business Mailing Address
First Line : 1 BUCCANEER PL
Second Line :
City : TAMPA
State : FL
Zip : 33607-5701
Country : US
Telephone Number : 813-870-2700
Fax Number : 813-870-1351
Provider Business Practice Location Address
First Line : 1 BUCCANEER PL
Second Line :
City : TAMPA
State : FL
Zip : 33607-5701
Country : US
Telephone Number : 813-870-2700
Fax Number : 813-870-1351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2014
Last Update Date : 07/27/2014

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Directions to “ MR. DAVID S. COHEN ATC” Practice Location

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