Provider Demographics
NPI:1174747810
Name:COHN, STEVEN J (M D)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:COHN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7301 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2919
Mailing Address - Country:US
Mailing Address - Phone:954-726-2116
Mailing Address - Fax:954-726-0411
Practice Address - Street 1:7301 N UNIVERSITY DR
Practice Address - Street 2:SUITE 204
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2919
Practice Address - Country:US
Practice Address - Phone:954-726-2116
Practice Address - Fax:954-726-0411
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41465207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94287Medicare ID - Type Unspecified
FLD63188Medicare UPIN