Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME50292 | FL |
NPI | 1003801713 |
---|---|
Provider Name | Dr. Steven R. Cohen |
First Address | St Petersburg, FL 33733-2868 |
Second Address | St Petersburg, FL 33713-8844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 17/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046318300 | (05) | FL |
D61089 | (02) | FL |