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Organization

COX SUPPORT COORDINATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARTHA ESTHER COX (OWNER)
(863) 326-0191
Entity
Organization

Contact information

Practice address
37 N 6TH ST STE B, HAINES CITY, FL 33844-4205
(863) 438-5046
Mailing address
PO BOX 651, DAVENPORT, FL 33836-0651
(863) 326-0191

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108690700
FL
Enumeration date
01/31/2022
Last updated
01/31/2022
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