Basic Information
Provider Information
NPI: 1013359413
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: TAYLOR
MiddleName: JAMES
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7700 W SUNRISE BLVD
Address2:  
City: PLANTATION
State: FL
PostalCode: 333224113
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1901 SW 172ND AVE
Address2:  
City: MIRAMAR
State: FL
PostalCode: 330295592
CountryCode: US
TelephoneNumber: 9545385000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/25/2013
LastUpdateDate: 03/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000XME136869FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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