Individual
EILEEN M COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14551 HOPE CENTER LOOP STE 200, FORT MYERS, FL 33912-4705
(239) 264-7026
(239) 567-3679
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101411
FL
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PA9101411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291064100
—
FL
05
—
2911064100
—
FL
01
—
970019944
MEDICAID RR
FL
01
—
PA9101411
PA LICENSE
FL
Enumeration date
04/06/2006
Last updated
05/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us