Provider Demographics
NPI:1619127859
Name:SAMUEL F COX MD PA
Entity Type:Organization
Organization Name:SAMUEL F COX MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:FOSTER
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-649-5111
Mailing Address - Street 1:6278 NORTH FEDERAL HWY
Mailing Address - Street 2:SUITE 302
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1916
Mailing Address - Country:US
Mailing Address - Phone:954-928-0066
Mailing Address - Fax:954-491-6246
Practice Address - Street 1:6278 NORTH FEDERAL HWY
Practice Address - Street 2:SUITE 302
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1916
Practice Address - Country:US
Practice Address - Phone:954-928-0066
Practice Address - Fax:954-491-6246
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAMUEL F COX MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77851208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2629241-00Medicaid
FLH53793Medicare UPIN