Healthcare Provider Details

I. General information

NPI: 1518365246
Provider Name (Legal Business Name): J R HAP COX PHD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2014
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 E DE SOTO ST
PENSACOLA FL
32501-3337
US

IV. Provider business mailing address

1221 E DE SOTO ST
PENSACOLA FL
32501-3337
US

V. Phone/Fax

Practice location:
  • Phone: 850-439-2100
  • Fax: 850-439-2122
Mailing address:
  • Phone: 850-439-2100
  • Fax: 850-439-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY 9208
License Number StateFL

VIII. Authorized Official

Name: DR. J. R. HAP COX
Title or Position: MGRM
Credential: PH.D.
Phone: 850-439-2100