Provider Demographics
NPI:1356598429
Name:COHEN, DJAMILLE JUDITH (RD, CNSD)
Entity type:Individual
Prefix:
First Name:DJAMILLE
Middle Name:JUDITH
Last Name:COHEN
Suffix:
Gender:F
Credentials:RD, CNSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 ALTON RD
Mailing Address - Street 2:DIETITIAN'S OFFICE - FOOD AND NUTRITION SERVICES
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-2121
Mailing Address - Fax:305-674-2234
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:DIETITIAN'S OFFICE - FOOD AND NUTRITION SERVICES
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2121
Practice Address - Fax:305-674-2234
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY934284133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered