Individual
DEBORAH A COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4800 NE 20TH TER, SUITE 107, FT LAUDERDALE, FL 33308-4510
(954) 202-9788
(954) 491-2891
Mailing address
4800 NE 20TH TER, SUITE 107, FT LAUDERDALE, FL 33308-4510
(954) 202-9788
(954) 491-2891
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0002042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566710001
DME
—
05
—
390117300
—
FL
01
—
65249
BLUE CROSS BLUE SHEILD
FL
Enumeration date
07/18/2006
Last updated
09/10/2010
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