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Individual

MICHAEL COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3259 DORNICH DR, MOUNT DORA, FL 32757-9756
(786) 261-9007
Mailing address
3259 DORNICH DR, MOUNT DORA, FL 32757-9756
(786) 261-9007

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548916364
BUSINESS IS NEMT
FL
Enumeration date
04/05/2022
Last updated
04/05/2022
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