Provider Demographics
NPI:1023021789
Name:COX, CAROL (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 MEDICAL PARK DR STE 140
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4679
Mailing Address - Country:US
Mailing Address - Phone:813-978-8315
Mailing Address - Fax:813-600-6962
Practice Address - Street 1:3000 MEDICAL PARK DR
Practice Address - Street 2:STE 140
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4679
Practice Address - Country:US
Practice Address - Phone:813-443-2101
Practice Address - Fax:813-443-4991
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85163207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13137OtherBLUE CROSS BLUE SHIELD
FL264588200Medicaid
FL13137ZMedicare PIN
FL13137OtherBLUE CROSS BLUE SHIELD
FLH69669Medicare UPIN