Provider Demographics
NPI:1255353785
Name:COHEN, STEVEN SETH (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:SETH
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 1:7670 LAGO DEL MAR DR
Mailing Address - Street 2:#305
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4906
Mailing Address - Country:US
Mailing Address - Phone:561-368-2612
Mailing Address - Fax:
Practice Address - Street 1:16244 MILITARY TRL
Practice Address - Street 2:SUITE 560
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6534
Practice Address - Country:US
Practice Address - Phone:561-495-7787
Practice Address - Fax:561-495-1164
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61510207RC0000X
FLME0061510207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15045Medicare ID - Type Unspecified
FLD55910Medicare UPIN