Provider Demographics
NPI:1649479619
Name:COHEN, BERNARD H (MD)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:H
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BERNARD
Other - Middle Name:H
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4425 PONCE DE LEON BLVD
Mailing Address - Street 2:SUSITE 130
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1837
Mailing Address - Country:US
Mailing Address - Phone:305-476-9544
Mailing Address - Fax:305-448-1050
Practice Address - Street 1:4425 PONCE DE LEON BLVD
Practice Address - Street 2:SUSITE 130
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1837
Practice Address - Country:US
Practice Address - Phone:305-476-9544
Practice Address - Fax:305-448-1050
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19426207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology