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Edgar Elliott Cox IV

Student in an Organized Health Care Education/Training Program in Miami, FL. Individual provider (NPI-1).

NPI number1295012003
StatusActive
Last updated in NPPESNov 8, 2011

Details

NPI
1295012003
Entity type
Individual (NPI-1)
Name
Edgar Elliott Cox IV
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 8, 2011
Last updated
Nov 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

16401 Sw 72nd Ter
Miami, FL 33193-3700

Phone 786-597-2047

Mailing address

7941 Sw 20th St
Miami, FL 33155-6505

Phone 786-247-2220

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