Healthcare Provider Details

I. General information

NPI: 1699139709
Provider Name (Legal Business Name): ALEXA LEAH COHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST
MIAMI FL
33136-2137
US

IV. Provider business mailing address

1150 NW 14TH ST
MIAMI FL
33136-2137
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-4530
  • Fax:
Mailing address:
  • Phone: 305-243-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number30969801
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME167927
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: