Provider Demographics
NPI:1417953514
Name:COHEN, JANE S (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:S
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4300 ALTON ROAD GREEN BUILDING
Mailing Address - Street 2:STE 810
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-674-5925
Mailing Address - Fax:305-674-5927
Practice Address - Street 1:4300 ALTON ROAD GREEN BUILDING
Practice Address - Street 2:STE 810
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-674-5925
Practice Address - Fax:305-674-5927
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2010-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME67916207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL37892100Medicaid
FL37892100Medicaid
G03274Medicare UPIN