Healthcare Provider Details

I. General information

NPI: 1386085264
Provider Name (Legal Business Name): ARI COHEN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

V. Phone/Fax

Practice location:
  • Phone: 561-882-4541
  • Fax: 561-650-6093
Mailing address:
  • Phone: 954-632-7931
  • Fax: 561-650-6093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS12255
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS12255
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: