Provider Demographics
NPI:1417674441
Name:COHEN, DANIELLE JANAI
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JANAI
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12880 SW 50TH TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-9029
Mailing Address - Country:US
Mailing Address - Phone:352-480-8721
Mailing Address - Fax:
Practice Address - Street 1:12880 SW 50TH TER
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-9029
Practice Address - Country:US
Practice Address - Phone:352-480-8721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician