Organization
STANLEY A COHEN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAN MOORE (PRACTICE MANAGER)
(904) 808-8595
Entity
Organization
Contact information
Practice address
605 PALENCIA CLUB DR # 201, ST AUGUSTINE, FL 32095-6901
(904) 808-8595
(904) 808-8596
Mailing address
605 PALENCIA CLUB DR # 201, ST AUGUSTINE, FL 32095-6901
(904) 808-8595
(904) 808-8596
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS7389
FL
Other
Enumeration date
04/23/2008
Last updated
09/21/2022
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