Healthcare Provider Details

I. General information

NPI: 1427913839
Provider Name (Legal Business Name): REBECCA TOVA COHEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 GROVEWOOD DR
LAKE WORTH FL
33467-7902
US

IV. Provider business mailing address

7750 GROVEWOOD DR
LAKE WORTH FL
33467-7902
US

V. Phone/Fax

Practice location:
  • Phone: 305-905-2303
  • Fax:
Mailing address:
  • Phone: 305-905-2303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number9388474
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number9388474
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9388474
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: