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NPI Code Detail

MEDICARE: DR. LEON A COHEN MD

MEDICARE:  DR. LEON A COHEN  MD
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
1207Q00000XFamily Medicine PhysicianME50207FL

Other Identifiers

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

General Provider Information

NPI Number : 1558329607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEON A COHEN MD
Provider Business Mailing Address
First Line : 375 S COURTENAY PKWY
Second Line : SUITE 1
City : MERRITT ISLAND
State : FL
Zip : 32952-4886
Country : US
Telephone Number : 321-453-3420
Fax Number : 321-453-8262
Provider Business Practice Location Address
First Line : 375 S COURTENAY PKWY
Second Line : SUITE 1
City : MERRITT ISLAND
State : FL
Zip : 32952-4886
Country : US
Telephone Number : 321-453-3420
Fax Number : 321-453-8262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 02/14/2012

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