Provider Demographics
NPI:1699972463
Name:CARLOS COHEN, MD PA
Entity type:Organization
Organization Name:CARLOS COHEN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-436-2200
Mailing Address - Street 1:2999 NE 191ST ST STE 260
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4925
Mailing Address - Country:US
Mailing Address - Phone:954-436-2200
Mailing Address - Fax:954-436-2262
Practice Address - Street 1:2999 NE 191ST ST STE 260
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4925
Practice Address - Country:US
Practice Address - Phone:954-436-2200
Practice Address - Fax:954-436-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG82946Medicare UPIN
FL35253AMedicare PIN