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NPI Code Detail

MEDICARE: SOUTH FLORIDA INFECTIOUS DISEASES PA

MEDICARE: SOUTH FLORIDA INFECTIOUS DISEASES PA
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
1207RI0200XInfectious Disease PhysicianME75788FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00336029OTHERRAILROAD MEDICARE

General Provider Information

NPI Number : 1528011228
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH FLORIDA INFECTIOUS DISEASES PA
Provider Business Mailing Address
First Line : 16244 MILITARY TRL
Second Line : SUITE 750
City : DELRAY BEACH
State : FL
Zip : 33484-6534
Country : US
Telephone Number : 561-381-3443
Fax Number : 561-381-3441
Provider Business Practice Location Address
First Line : 16244 MILITARY TRL
Second Line : SUITE 750
City : DELRAY BEACH
State : FL
Zip : 33484-6534
Country : US
Telephone Number : 561-381-3443
Fax Number : 561-381-3441
Authorized Official
Title or Position : OWNER
Name : CARLOS A. COHEN
Credential : M.D.
Telephone Number : 561-381-3443
Provider Enumeration Date : 05/17/2006
Last Update Date : 08/10/2009

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Directions to “SOUTH FLORIDA INFECTIOUS DISEASES PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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