Provider Demographics
NPI:1639136369
Name:COHN, LEON F (MD)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:F
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:499 NW 70 AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317
Mailing Address - Country:US
Mailing Address - Phone:954-792-6411
Mailing Address - Fax:954-792-4460
Practice Address - Street 1:499 NW 70 AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317
Practice Address - Country:US
Practice Address - Phone:954-792-6411
Practice Address - Fax:954-792-4460
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0014332207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058247600Medicaid
FL93346OtherBLUE CROSS BLUE SHIELD
D60438Medicare UPIN
FL058247600Medicaid