Healthcare Provider Details

I. General information

NPI: 1770402042
Provider Name (Legal Business Name): HOLLI COX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 JOHN SIMS PKWY E
NICEVILLE FL
32578-2025
US

IV. Provider business mailing address

1130 IVEY TER
NICEVILLE FL
32578-2133
US

V. Phone/Fax

Practice location:
  • Phone: 850-225-4102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA80875
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: