MEDICARE: ALEX ROBERT COHEN D.O.

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
1	207Q00000X	Family Medicine Physician	OS0003967	FL
2	207QA0505X	Adult Medicine Physician	OS0003967	FL

General Provider Information

NPI Number	:	1750319919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX ROBERT COHEN D.O.

Provider Business Mailing Address
First Line	:	2730 N STATE ROAD 7
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5726
Country	:	US
Telephone Number	:	954-586-8058
Fax Number	:	754-222-6417

Provider Business Practice Location Address
First Line	:	8890 W OAKLAND PARK BLVD STE 100
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-7223
Country	:	US
Telephone Number	:	954-741-3304
Fax Number	:	754-222-6417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	05/10/2024

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