Healthcare Provider Details

I. General information

NPI: 1831025055
Provider Name (Legal Business Name): DR. ANTONIO COX
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5108 ZACHARY BLVD
PENSACOLA FL
32526-8086
US

IV. Provider business mailing address

1900 SUMMIT BLVD
PENSACOLA FL
32503-3359
US

V. Phone/Fax

Practice location:
  • Phone: 202-375-3931
  • Fax:
Mailing address:
  • Phone: 448-216-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN9570675
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: