Provider Demographics
NPI:1841829504
Name:COHEN, JONAS M (DO)
Entity type:Individual
Prefix:
First Name:JONAS
Middle Name:M
Last Name:COHEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6970 AVENUE DES PALAIS APT 2A
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:FL
Mailing Address - Zip Code:33707-2837
Mailing Address - Country:US
Mailing Address - Phone:727-300-9562
Mailing Address - Fax:
Practice Address - Street 1:6735 CROSSWINDS DR N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5471
Practice Address - Country:US
Practice Address - Phone:727-548-8555
Practice Address - Fax:727-501-7328
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2023-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL19972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG1O09OtherFLORIDA BLUE