Provider Demographics
NPI:1578723862
Name:COX, NATHANIEL ENOCH (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:ENOCH
Last Name:COX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 SE 36TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4936
Mailing Address - Country:US
Mailing Address - Phone:352-512-0530
Mailing Address - Fax:
Practice Address - Street 1:1521 SE 36TH AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4936
Practice Address - Country:US
Practice Address - Phone:352-512-0530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL840YMedicare PIN