Individual
MRS. MARTHA ESTHER COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 SANDY RIDGE DR, DAVENPORT, FL 33896-3020
(863) 326-0191
Mailing address
232 SANDY RIDGE DR, DAVENPORT, FL 33896-3020
(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
—
010494500
—
FL
Enumeration date
01/31/2022
Last updated
01/31/2022
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