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Organization
MICHAEL D. KOHEN, MD, PA
Active
Organization
MICHAEL D. KOHEN, MD, PA
Active
Other names
Allergy, Asthma, Arthritis & Lung Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINICIUS COSTA DINIZ DOMINGUES (PRESIDENT)
(386) 252-1632
Entity
Organization
Contact information
Practice address
709 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-1603
(386) 252-1632
(386) 257-5526
Mailing address
709 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-1603
(386) 252-1632
(386) 257-5526
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
07/12/2007
Last updated
12/23/2025
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