Provider Demographics
NPI:1235169780
Name:COHEN, ANDREW M (DC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:COHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1943 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1934
Mailing Address - Country:US
Mailing Address - Phone:561-391-5443
Mailing Address - Fax:561-392-2200
Practice Address - Street 1:1943 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1934
Practice Address - Country:US
Practice Address - Phone:561-391-5443
Practice Address - Fax:561-392-2200
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T55862Medicare UPIN
FL88517Medicare ID - Type Unspecified