Provider Demographics
NPI:1427325349
Name:DOUGLAS H COHEN DPM PA
Entity type:Organization
Organization Name:DOUGLAS H COHEN DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:941-921-1189
Mailing Address - Street 1:2000 S OCEAN BLVD
Mailing Address - Street 2:SUITE 12G
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-8535
Mailing Address - Country:US
Mailing Address - Phone:941-921-1189
Mailing Address - Fax:941-926-1697
Practice Address - Street 1:2000 S OCEAN BLVD
Practice Address - Street 2:SUITE 12G
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-8535
Practice Address - Country:US
Practice Address - Phone:941-921-1189
Practice Address - Fax:941-926-1697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2667213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty