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Individual

DOUGLAS H COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8614 E STATE ROAD 70, SUITE 200, BRADENTON, FL 34202-3710
(941) 408-5517
Mailing address
2000 S OCEAN BLVD, SUITE 12G, BOCA RATON, FL 33432-8535

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2667
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149485
UMWA
FL
05
340218500
FL
01
480033658
RR MEDICARE
FL
01
629392
ANTHEM BCBS
FL
Enumeration date
10/10/2006
Last updated
10/03/2016
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