Cohen, Jackson George

Cohen, Jackson George is an individual health care provider with primary practice located at 3702 Washington St Ste 303 , Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Cohen, Jackson George can be contacted via phone (954) 518-2424.

Contact Information

Primary practice address
3702 Washington St Ste 303 Hollywood FL 33021
Phone: (954) 518-2424
Fax: (954) 981-3476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME116519 Florida

Profile Details

NPI number 1467770248
LBN Legal business name Cohen, Jackson George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2010
Last updated Mar 15th, 2021 - about 4 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 1467770248 NPPES
Florida MEDICAID 018258400

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