Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN11009331 | FL |
NPI | 1023607280 |
---|---|
Provider Name | Gabrielle Cox |
First Address | Apopka, FL 32703-1508 |
Second Address | Apopka, FL 32703-1508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2021 |
Last Update Date | 12/01/2021 |