Individual provider · NPI-1

Jackson George Cohen, M.D.

Pain Medicine, Interventional Pain Medicine · Hollywood, FL

NPI number1467770248
StatusActive
Last updated in NPPESMar 15, 2021

Details

NPI
1467770248
Entity type
Individual (NPI-1)
Name
Jackson George Cohen
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2010
Certification date
Mar 15, 2021
Last updated
Mar 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain MedicineME116519FLYes

Practice location

3702 Washington St Ste 303
Hollywood, FL 33021

Phone 954-518-2424 · Fax 954-981-3476

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925

Phone 954-276-5685 · Fax 954-985-7074

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