Provider Demographics
NPI:1518018142
Name:COHEN, STEVEN WILLIAM (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:WILLIAM
Last Name:COHEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672 SW PRIMA VISTA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1820
Mailing Address - Country:US
Mailing Address - Phone:772-905-2560
Mailing Address - Fax:
Practice Address - Street 1:8200 WORLD CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-3282
Practice Address - Country:US
Practice Address - Phone:407-465-1110
Practice Address - Fax:407-465-1222
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 0006551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine