Provider Demographics
NPI:1053396333
Name:COX, JEFFREY M (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:M
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30470
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-1470
Mailing Address - Country:US
Mailing Address - Phone:850-465-0651
Mailing Address - Fax:850-484-4283
Practice Address - Street 1:545 BRENT LN
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2003
Practice Address - Country:US
Practice Address - Phone:850-465-0651
Practice Address - Fax:850-484-4283
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME62170207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009964940Medicaid
FL050083650OtherMEDICARE RAILROAD
FL15277OtherBLUE CROSS BLUE SHIELD
FL370647800Medicaid
AL59043201OtherBLUE CROSS BLUE SHIELD
FL15277XMedicare ID - Type Unspecified
AL009964940Medicaid