MEDICARE: DR. TERRENCE JAY COHEN MD

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
1	207RC0000X	Cardiovascular Disease Physician	37484	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D57102	OTHER	FL	UPIN NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538161849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRENCE JAY COHEN MD

Provider Business Mailing Address
First Line	:	133 TURNBERRY DR
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1024
Country	:	US
Telephone Number	:	561-641-6769
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 TURNBERRY DR
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1024
Country	:	US
Telephone Number	:	561-641-6769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/24/2014

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