Individual
DR. DANIEL LAWRENCE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2245 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3611
(954) 963-0888
Mailing address
21111 NE 22ND CT, AVENTURA, FL 33180-1001
(954) 907-2773
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 106752
FL
390200000X
Student in an Organized Health Care Education/Training Program
244643
NY
390200000X
Student in an Organized Health Care Education/Training Program
7856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME106752
STATE LICENSE
FL
Enumeration date
05/30/2007
Last updated
09/10/2010
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