Individual
CHARLES E COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17416 BROOKSIDE TRACE CT, TAMPA, FL 33647-6200
(813) 660-6150
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
ME42631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036027900
—
FL
01
—
30619
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/13/2006
Last updated
02/02/2023
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