MEDICARE: GREGORY S COHN M.D.

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	ME0060497	FL

General Provider Information

NPI Number	:	1700885456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY S COHN M.D.

Provider Business Mailing Address
First Line	:	7301A W PALMETTO PARK RD
Second Line	:	SUITE 202-C
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3409
Country	:	US
Telephone Number	:	561-367-7447
Fax Number	:	561-367-7453

Provider Business Practice Location Address
First Line	:	7301A W PALMETTO PARK RD
Second Line	:	SUITE 202-C
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3409
Country	:	US
Telephone Number	:	561-367-7447
Fax Number	:	561-367-7453

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	12/20/2011

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