Cohen, Debra J

Cohen, Debra J is an individual health care provider with primary practice located at 7481 W Oakland Park Blvd Ste 100, Tamarac FL 33319-4985. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cohen, Debra J can be contacted via phone (888) 852-6672.

Contact Information

Primary practice address
7481 W Oakland Park Blvd Ste 100 Tamarac FL 33319-4985
Fax: (305) 891-4228
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 5407 Florida

Profile Details

NPI number 1952460040
LBN Legal business name Cohen, Debra J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952460040 NPPES
Florida Other AD261R MEDICARE PTAN
Florida MEDICAID 026267900 MEDICARE PTAN

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