Provider Demographics
NPI:1407805211
Name:COZ, JULIUS Z (MD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:Z
Last Name:COZ
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 1:16244 S MILITARY TRL
Mailing Address - Street 2:SUITE 750
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6534
Mailing Address - Country:US
Mailing Address - Phone:561-299-0212
Mailing Address - Fax:866-495-2978
Practice Address - Street 1:485 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476-2405
Practice Address - Country:US
Practice Address - Phone:561-285-1588
Practice Address - Fax:866-495-2978
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003112800Medicaid