Provider Demographics
NPI:1548281074
Name:COHN, RICHARD A (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:260 LOOKOUT PL
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4485
Mailing Address - Country:US
Mailing Address - Phone:407-647-7227
Mailing Address - Fax:407-647-5744
Practice Address - Street 1:260 LOOKOUT PL
Practice Address - Street 2:SUITE 105
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4485
Practice Address - Country:US
Practice Address - Phone:407-647-7227
Practice Address - Fax:407-647-5744
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2008-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME70404207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3152Medicare ID - Type Unspecified
FLG13621Medicare UPIN