MEDICARE: ELLIOT S. COHEN, MD, INC.

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	207RR0500X	Rheumatology Physician	ME036592	FL

General Provider Information

NPI Number	:	1861585937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLIOT S. COHEN, MD, INC.

Provider Business Mailing Address
First Line	:	1801 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1442
Country	:	US
Telephone Number	:	954-429-9050
Fax Number	:	954-421-3649

Provider Business Practice Location Address
First Line	:	1801 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1442
Country	:	US
Telephone Number	:	954-429-9050
Fax Number	:	954-421-3649

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELLIOT S COHEN
Credential	:	MD
Telephone Number	:	954-429-9050

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/22/2020

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