Individual
ROSS A. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5065 STATE ROAD 17, SUITE 203, LAKE WORTH, FL 33449-4615
(561) 432-0067
(561) 432-0066
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0056876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06798
WELLCARE
FL
01
—
09628
BC/BS FLORIDA
FL
01
—
1010101
WELLCARE
FL
01
—
1193668
CIGNA
FL
01
—
206497
AVMED
FL
01
—
340003666
RR MEDICARE
FL
05
—
340003666
—
FL
01
—
3431
DIMENSION
FL
01
—
4116931
AETNA
FL
01
—
P00337
FREEDOM
FL
01
—
P01604779
RR MEDICARE
FL
01
—
P971746
OPTIMUM
FL
Enumeration date
06/01/2005
Last updated
11/10/2016
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