Healthcare Provider Details

I. General information

NPI: 1043415524
Provider Name (Legal Business Name): COGEN AND LUDWIG, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W 41ST ST SUITE 202
MIAMI BEACH FL
33140-3641
US

IV. Provider business mailing address

333 W 41ST ST SUITE 202
MIAMI BEACH FL
33140-3641
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-3408
  • Fax: 305-531-6400
Mailing address:
  • Phone: 305-531-3408
  • Fax: 305-531-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME8595
License Number StateFL

VIII. Authorized Official

Name: DR. STEPHEN T COGEN
Title or Position: OWNER
Credential: MD
Phone: 305-531-3408