Individual
SIMON M COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 NW 42 AVE, PLANTATION GENERAL HOSPITAL, PLANTATION, FL 33317
(954) 587-5010
(954) 473-6200
Mailing address
PO BOX 63069, CHARLESTON, SC 29406
(305) 229-4311
(305) 229-4388
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0030561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041511100
—
FL
01
—
94080
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/09/2006
Last updated
08/12/2010
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