Provider Demographics
NPI:1407264005
Name:COHEN, DAVID S (ATC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:COHEN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BUCCANEER PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5701
Mailing Address - Country:US
Mailing Address - Phone:813-870-2700
Mailing Address - Fax:813-870-1351
Practice Address - Street 1:1 BUCCANEER PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5701
Practice Address - Country:US
Practice Address - Phone:813-870-2700
Practice Address - Fax:813-870-1351
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-27
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer