Individual
DAN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204-4704
(904) 388-6949
(904) 388-1841
Mailing address
PO BOX 161180, ALTAMONTE SPRINGS, FL 32716-1180
(904) 388-6949
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME152668
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME152668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669420436
—
FL
Enumeration date
03/30/2017
Last updated
11/17/2023
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