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Individual

MITCHELL BRADLEY COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2213 N UNIVERSITY DR STE A, PEMBROKE PINES, FL 33024-3611
(954) 963-2151
(954) 966-6629
Mailing address
3700 WASHINGTON ST STE 500A, HOLLYWOOD, FL 33021-8256
(954) 989-4700
(954) 966-6629

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME69057
FL
207RC0000X
Cardiovascular Disease Physician
ME69057
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME69057
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
236328
AVMED
FL
05
250842700
FL
01
25119
NEIGHBORHOOD HEALTH
FL
01
5599519
AETNA
FL
01
BA500
GROUP MEDICARE
FL
01
BC&BS
28918
FL
Enumeration date
09/22/2006
Last updated
04/10/2023
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