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NPI Code Detail

MEDICARE: JEFFREY B. COHEN CRNA

MEDICARE: JEFFREY B. COHEN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistARNP2802782FL
2163W00000XRegistered Nurse640034-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396713293
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY B. COHEN CRNA
Provider Business Mailing Address
First Line : 2840 S OAKLAND FOREST DR
Second Line : UNIT 2403
City : OAKLAND PARK
State : FL
Zip : 33309-7530
Country : US
Telephone Number : 305-975-6840
Fax Number :
Provider Business Practice Location Address
First Line : 2840 S OAKLAND FOREST DR
Second Line : UNIT 2403
City : OAKLAND PARK
State : FL
Zip : 33309-7530
Country : US
Telephone Number : 305-975-6840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 06/20/2013

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