Individual
JERRY A COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0077
(352) 392-7029
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0077
(352) 392-7029
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
016324
GA
207L00000X
Anesthesiology Physician
Primary
ME30559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058399500
—
FL
Enumeration date
08/02/2006
Last updated
03/21/2008
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