Provider Demographics
NPI:1487678066
Name:JOHN M COX MD PA
Entity Type:Organization
Organization Name:JOHN M COX MD PA
Other - Org Name:TAMPA BAY BREAST CARE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MYRRH
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-978-8315
Mailing Address - Street 1:3000 MEDICAL PARK DRIVE
Mailing Address - Street 2:SUITE 140
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 DRIVE
Practice Address - Street 2:SUITE 140
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4679
Practice Address - Country:US
Practice Address - Phone:813-978-8315
Practice Address - Fax:813-600-6962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME931152086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI56692Medicare UPIN
FLQ0107Medicare PIN