Healthcare Provider Details

I. General information

NPI: 1851076319
Provider Name (Legal Business Name): KRISTEN LEE COX APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 CORPORATE DR STE 100
BOYNTON BEACH FL
33426-6654
US

IV. Provider business mailing address

4710 N HABANA AVE STE 203
TAMPA FL
33614-7146
US

V. Phone/Fax

Practice location:
  • Phone: 813-358-3549
  • Fax: 239-603-0452
Mailing address:
  • Phone: 863-660-5654
  • Fax: 239-603-0452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAPRN11027096
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberAPRN11027096
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberAPRN11027096
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11027096
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: