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Individual

BRIAN D. COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4725 N. FEDERAL HIGHWAY, FORT LAUDERDALE, FL 33308-4603
(954) 771-8000
(954) 776-3270
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M5106
TX
207L00000X
Anesthesiology Physician
Primary
ME100642
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000631200
FL
01
8AA446
BLUE CROSS
TX
01
98144
BLUE CROSS BLUE SHIELD
FL
01
P00611245
MEDICARE RAILROAD
Enumeration date
03/21/2007
Last updated
08/28/2012
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