Provider Demographics
NPI:1831265347
Name:COHEN, NEIL H (DC)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:H
Last Name:COHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 E ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6758
Mailing Address - Country:US
Mailing Address - Phone:954-941-4000
Mailing Address - Fax:954-941-4005
Practice Address - Street 1:1436 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6758
Practice Address - Country:US
Practice Address - Phone:954-941-4000
Practice Address - Fax:954-941-4005
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU17587Medicare UPIN
FL22585Medicare ID - Type Unspecified