Provider Demographics
NPI:1679772446
Name:MICHAEL D. KOHEN, MD, PA
Entity Type:Organization
Organization Name:MICHAEL D. KOHEN, MD, PA
Other - Org Name:ALLERGY, ASTHMA, ARTHRITIS & LUNG CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:KOHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-252-1632
Mailing Address - Street 1:709 N CLYDE MORRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-1603
Mailing Address - Country:US
Mailing Address - Phone:386-252-1632
Mailing Address - Fax:386-257-5526
Practice Address - Street 1:709 N CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-1603
Practice Address - Country:US
Practice Address - Phone:386-252-1632
Practice Address - Fax:386-257-5526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty