Healthcare Provider Details

I. General information

NPI: 1407805211
Provider Name (Legal Business Name): JULIUS Z COZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 W MAIN ST
PAHOKEE FL
33476-2405
US

IV. Provider business mailing address

16244 S MILITARY TRL SUITE 750
DELRAY BEACH FL
33484-6534
US

V. Phone/Fax

Practice location:
  • Phone: 561-285-1588
  • Fax: 866-495-2978
Mailing address:
  • Phone: 561-299-0212
  • Fax: 866-495-2978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 93162
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier003112800
Identifier TypeMEDICAID
Identifier StateFL
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: