Individual
ALEXIS N. COHEN-ORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613-4706
(813) 974-8900
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
ME115606
FL
2084P0800X
Psychiatry Physician
262696
MA
2084P0800X
Psychiatry Physician
Primary
ME115606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017932200
—
FL
01
—
10622
BLUE CROSS BLUE SHIELD FLORIDA
FL
Enumeration date
04/08/2011
Last updated
03/31/2021
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