Individual
JOHN COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 N 35TH AVE, SUITE 605, HOLLYWOOD, FL 33021-5424
(954) 265-7900
(954) 276-0255
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME93683
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME93683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279519100
—
FL
Enumeration date
05/28/2006
Last updated
10/21/2021
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