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Individual

DR. EDWARD NICHOLAS COHILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, DO

Contact information

Practice address
820 PRUDENTIAL DR, SUITE 713, JACKSONVILLE, FL 32207-8210
(904) 396-5682
(904) 346-0864
Mailing address
820 PRUDENTIAL DR, SUITE 713, JACKSONVILLE, FL 32207-8210
(904) 396-5682

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
OS 8866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234909454A
GA
05
2687241-00
FL
05
268724100
FL
01
37753
BCBS
FL
Enumeration date
01/31/2006
Last updated
07/12/2010
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