Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | PY000SS76 | FL |
NPI | 1003936444 |
---|---|
Provider Name | Dr. Joseph A Cox |
First Address | Pensacola, FL 32504 |
Second Address | Pensacola, FL 32504-6994 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75261 | BCBS PROVIDER # (01) | FL |