Healthcare Provider Details

I. General information

NPI: 1083063101
Provider Name (Legal Business Name): ELI COHEN MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6290 LINTON BLVD STE 201
DELRAY BEACH FL
33484-6409
US

IV. Provider business mailing address

6290 LINTON BLVD STE 201
DELRAY BEACH FL
33484-6409
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-1337
  • Fax: 561-495-5892
Mailing address:
  • Phone: 561-495-1337
  • Fax: 561-495-5892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIAHOU COHEN
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 561-495-1337