Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 11009877 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11009877 | FL |
NPI | 1467117184 |
---|---|
Provider Name | Brent Douglas Cox |
First Address | Miami, FL 33156-7377 |
Second Address | Miami, FL 33156-7377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2021 |
Last Update Date | 08/11/2021 |