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Organization

LEON A COHEN, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEON ALAN COHEN M.D. (PRESIDENT/MEDICAL DOCTOR)
(321) 453-3420
Entity
Organization

Contact information

Practice address
375 S COURTENAY PKWY, SUITE 1, MERRITT ISLAND, FL 32952-4868
(321) 453-3420
(321) 453-8262
Mailing address
375 S COURTENAY PKWY, SUITE 1, MERRITT ISLAND, FL 32952-4868
(321) 453-3420
(321) 453-8262

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME50207
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046926200
FL
Enumeration date
01/31/2012
Last updated
03/26/2012
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