Provider Demographics
NPI:1750695698
Name:GENE COX M.D., P.A.
Entity type:Organization
Organization Name:GENE COX M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-939-0986
Mailing Address - Street 1:3594 BROADWAY
Mailing Address - Street 2:SUITE H
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-8016
Mailing Address - Country:US
Mailing Address - Phone:239-939-0986
Mailing Address - Fax:239-939-1657
Practice Address - Street 1:3594 BROADWAY
Practice Address - Street 2:SUITE H
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-8016
Practice Address - Country:US
Practice Address - Phone:239-939-0986
Practice Address - Fax:239-939-1657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0018066207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054223700Medicaid
FL36198Medicare PIN
FL054223700Medicaid