Active NPI
Michael D. Kohen, MD, PA
- Allergy & Immunology Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- MICHAEL D. KOHEN, MD, PA
- Practice address
- 709 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603 - Phone
- (386) 252-1632
- Fax
- (386) 257-5526
- NPI assigned
- Jul 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vinicius Costa Diniz Domingues
- Title
- President
- Phone
- (386) 252-1632
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary | ||
| Pulmonary Disease Physician | 207RP1001X | |||
| Rheumatology Physician | 207RR0500X | |||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
709 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Mailing address
709 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Phone (386) 252-1632
Other names 1
- Allergy, Asthma, Arthritis & Lung Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1105439 | Michael D Kohen MD PA | Certificate of waiver | Sep 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
921 N Spring Garden Ave
Deland, FL 32720
550 Memorial Cir
Ste M
Ormond Beach, FL 32174
1545 Hand Ave
Ste 2
Ormond Beach, FL 32174
Phone (386) 274-2977
3 Pine Cone Dr
Ste 103
Palm Coast, FL 32137
Phone (800) 255-7188
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Daytona Beach, FL
- NPI 1023364387
-
- Nurse Practitioner
- Daytona Beach, FL
- NPI 1902356314
-
- Allergy & Immunology Physician
- Daytona Beach, FL
- NPI 1013909951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766448000000",
"number": "1679772446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141603",
"telephone_number": "386-252-1632",
"fax_number": "386-257-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141603",
"telephone_number": "386-252-1632",
"fax_number": "386-257-5526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL D. KOHEN, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A",
"authorized_official_last_name": "COSTA DINIZ DOMINGUES",
"authorized_official_first_name": "VINICIUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-252-1632",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Allergy, Asthma, Arthritis & Lung Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.