Individual
LIDICE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REACE
Contact information
Practice address
14381 SW 156TH ST, MIAMI, FL 33177-1075
(786) 357-6620
Mailing address
14381 SW 156TH ST, MIAMI, FL 33177-1075
(786) 357-6620
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20
CA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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