Individual
DR. JACK E COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1555 KINGSLEY AVE, STE 201, ORANGE PARK, FL 32073-9202
(904) 278-0432
(904) 278-0612
Mailing address
1555 KINGSLEY AVE, STE 201, ORANGE PARK, FL 32073-9202
(904) 278-0432
(904) 278-0612
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS0005009
FL
Other
Enumeration date
06/27/2005
Last updated
11/13/2009
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