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Individual
DR. JACK ROBERT COHEN
Active
Individual
DR. JACK ROBERT COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0030214
FL
207RG0100X
Gastroenterology Physician
ME0030214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020463
NHP
FL
01
—
0422800001
CIGNA
FL
01
—
18693
WELLCARE
DC
01
—
203994
AVMED
FL
01
—
2622370
AETNA
FL
01
—
4311898
AETNA PPO
FL
01
—
55060
JMH
FL
01
—
92846
BCBS FL
FL
01
—
P1528001
OXFORD
FL
01
—
S843801
CAREPLUS
FL
Enumeration date
05/19/2006
Last updated
04/18/2008
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