Provider Demographics
NPI:1396146148
Name:COHAN, VAUGHN (MD)
Entity type:Individual
Prefix:DR
First Name:VAUGHN
Middle Name:
Last Name:COHAN
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 1:234 CORAL CAY TER
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4004
Mailing Address - Country:US
Mailing Address - Phone:954-647-1270
Mailing Address - Fax:561-775-9209
Practice Address - Street 1:234 CORAL CAY TER
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4004
Practice Address - Country:US
Practice Address - Phone:954-647-1270
Practice Address - Fax:561-775-9209
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME157582084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAC4878887OtherDEA