Healthcare Provider Details

I. General information

NPI: 1134392699
Provider Name (Legal Business Name): COHEN & SHEINKER, MDPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7090 BERACASA WAY
BOCA RATON FL
33433-3447
US

IV. Provider business mailing address

7090 BERACASA WAY
BOCA RATON FL
33433-3447
US

V. Phone/Fax

Practice location:
  • Phone: 561-362-4330
  • Fax:
Mailing address:
  • Phone: 561-362-4330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME82985
License Number StateFL

VIII. Authorized Official

Name: DR. MELISSA SHEINKER
Title or Position: VICE PRESIDENT
Credential:
Phone: 561-602-2319