Individual
MR. JONATHAN M. COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., A.P.
Contact information
Practice address
721 RIDGEWOOD AVE., STE. 9, HOLLY HILL,, FL 32117
(386) 947-9009
Mailing address
1815 LINDA AVE, ORMOND BEACH, FL 32174-7245
(386) 947-9009
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000749494
AETNA PIN
FL
01
—
CO777
BCBS PROVIDER #
FL
Enumeration date
03/06/2007
Last updated
07/08/2007
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