Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME53488 | FL |
NPI | 1154317592 |
---|---|
Provider Name | Dr. Catherine Louise Cozad |
First Address | Largo, FL 33777-1251 |
Second Address | Largo, FL 33777-1251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 29/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
048329000 | (05) | FL |
07669 | BLUE CROSS BLUE SHIELD (01) | |
1319 | HUMANA (01) | |
160055408 | RAILROAD MEDICARE (01) | |
5950034 | AETNA (01) | |
E56523 | (02) |