Cohen, Marvin Ishmeal
Cohen, Marvin Ishmeal is an sole proprietor health care provider with primary practice located at 1801 Se Hillmoor Dr Suite B-105, Port St Lucie FL 34952-7553. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Cohen, Marvin Ishmeal can be contacted via phone (772) 398-9911.Contact Information
Primary practice address
1801 Se Hillmoor Dr Suite B-105
Port St Lucie FL 34952-7553
Phone: (772) 398-9911
Fax: (772) 398-4374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9262776 | Florida |
Profile Details
| NPI number | 1417383803 |
|---|---|
| LBN Legal business name | Cohen, Marvin Ishmeal |
| Credentials | A.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2013 |
| Last updated | Sep 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417383803 | NPPES |
| Florida | Other | ARNP9262776 | LICENSE NUMBER |
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