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Individual

KENNETH SCOTT COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4972 TOWN CENTER PKWY STE 301, JACKSONVILLE, FL 32246-8595
(904) 642-6100
(904) 642-5154
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(904) 642-6100
(904) 642-5154

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME067154
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
252336100
FL
Enumeration date
08/30/2006
Last updated
08/30/2021
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