Individual
JACK A COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N HIATUS RD, SUITE 105, PEMBROKE PINES, FL 33026-5214
(954) 431-8000
(954) 436-0449
Mailing address
4620 N STATE ROAD 7, SUITE 316, LAUDERDALE LAKES, FL 33319-5884
(954) 967-6400
(954) 967-6410
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME36465
FL
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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