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Individual

JONATHAN B COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME96437
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME 96437
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278592700
FL
01
92725
BCBS
FL
01
AF361Z
GTBA MEDICARE REASSIGN
FL
Enumeration date
06/20/2007
Last updated
03/09/2025
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