Provider Demographics
NPI:1568656494
Name:COX, STEVEN RICHARD (PT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:RICHARD
Last Name:COX
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9774 COMMODORE DR
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-1136
Mailing Address - Country:US
Mailing Address - Phone:727-595-4380
Mailing Address - Fax:
Practice Address - Street 1:9774 COMMODORE DR
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-1136
Practice Address - Country:US
Practice Address - Phone:727-595-4380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y0164OtherBLUE CROSS BLUE SHIELD
FLY0164ZMedicare UPIN