Individual
DR. HEZI COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
305 MEMORIAL MEDICAL PKW., SUITE 208, DAYTONA BEACH, FL 32117
(386) 231-3525
(386) 231-3527
Mailing address
305 MEMORIAL MEDICAL PKW., SUITE 208, DAYTONA BEACH, FL 32117
(386) 231-3525
(386) 231-3527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME79162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080178811
RAILROAD MEDICARE
FL
05
—
266878500
—
FL
Enumeration date
09/13/2005
Last updated
03/10/2011
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