Healthcare Provider Details

I. General information

NPI: 1255331070
Provider Name (Legal Business Name): SHELDON COHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 SW 137TH AVE #115
MIAMI FL
33186-1411
US

IV. Provider business mailing address

9000 SW 137TH AVE #115
MIAMI FL
33186-1411
US

V. Phone/Fax

Practice location:
  • Phone: 305-380-6773
  • Fax: 786-533-1502
Mailing address:
  • Phone: 305-380-6773
  • Fax: 786-533-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME20270
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: