Healthcare Provider Details

I. General information

NPI: 1235330457
Provider Name (Legal Business Name): JENNIFER HOCHMAN COHN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. JENNIFER SUSAN HOCHMAN

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

719 JERONIMO DR
CORAL GABLES FL
33146-1268
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6973
  • Fax:
Mailing address:
  • Phone: 305-878-4914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME106919
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: