Provider Demographics
NPI:1487606182
Name:COHEN, AVRIEL BARNET (DPM)
Entity type:Individual
Prefix:DR
First Name:AVRIEL
Middle Name:BARNET
Last Name:COHEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3611
Mailing Address - Country:US
Mailing Address - Phone:954-966-7886
Mailing Address - Fax:954-964-8597
Practice Address - Street 1:2299 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3611
Practice Address - Country:US
Practice Address - Phone:954-966-7886
Practice Address - Fax:954-964-8597
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1054213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0477010001OtherCIGNA GOVERNMENT SERVICES
FL041498100Medicaid
FL0477010001OtherCIGNA GOVERNMENT SERVICES
FL0477010001Medicare NSC
FL87604ZMedicare PIN