Healthcare Provider Details

I. General information

NPI: 1265427298
Provider Name (Legal Business Name): LEONARD VERNON COHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 11/09/2025
Certification Date: 03/24/2021
Deactivation Date: 03/23/2006
Reactivation Date: 03/27/2006

III. Provider practice location address

21000 NE 28TH AVE SUITE 205
AVENTURA FL
33180-1421
US

IV. Provider business mailing address

PO BOX 160010
HIALEAH FL
33016-0001
US

V. Phone/Fax

Practice location:
  • Phone: 305-933-5993
  • Fax: 305-933-4135
Mailing address:
  • Phone: 305-933-5993
  • Fax: 305-933-4135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME0076030
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: