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Individual
MICHAEL COHEN
Active
Individual
MICHAEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102453
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86303
AMERIGROUP
FL
Enumeration date
04/20/2006
Last updated
01/03/2008
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