Provider Demographics
NPI:1417955444
Name:COHEN, LOUIS H (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:H
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 CATTLEMEN RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6057
Mailing Address - Country:US
Mailing Address - Phone:941-379-1860
Mailing Address - Fax:941-379-1895
Practice Address - Street 1:3333 CATTLEMEN RD STE 104
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6057
Practice Address - Country:US
Practice Address - Phone:941-379-1860
Practice Address - Fax:941-379-1895
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME111892208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0084509 00Medicaid
FL14M63OtherFL BC/BS
FL0084509 00Medicaid
FL14M63OtherFL BC/BS