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Individual

JACOB COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
777 E 25TH ST STE 418, HIALEAH, FL 33013-3835
(305) 531-7078
(305) 356-1404
Mailing address
PO BOX 370745, MIAMI, FL 33137-0745
(305) 531-7078
(305) 356-1404

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 0047539
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
035646800
FL
Enumeration date
07/10/2006
Last updated
01/06/2023
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