Individual
HENRY RICHARD COZINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1794
Mailing address
2024 INDIAN PASS RD, PORT ST JOE, FL 32456-7816
(850) 227-1276
(850) 227-1794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2182
FL
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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