Healthcare Provider Details

I. General information

NPI: 1073571071
Provider Name (Legal Business Name): MOSKOWITZ AND COHEN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 NORTH MIAMI BEACH BLVD #302
NORTH MIAMI BEACH FL
33162
US

IV. Provider business mailing address

909 NORTH MIAMI BEACH BLVD #302
NORTH MIAMI BEACH FL
33162
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-2491
  • Fax: 305-949-1021
Mailing address:
  • Phone: 305-949-2491
  • Fax: 305-949-1021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JEROME MOSKOWITZ
Title or Position: DOCTOR PRESIDENT
Credential: MD
Phone: 305-949-2491