Most Relevant Information
Provider Data
| NPI Number: | 1003569096 |
| Provider Name: | LARRY DEWAYNE COX |
| Entity Type: | Individual |
| Taxonomy Code: | 261QD1600X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2022 |
| Last Updated: | 01/31/2022 |
Provider Practice Location
232 SANDY RIDGE DR
DAVENPORT
FL
338963020
Practice Location Phone/Fax
| Phone: | 8632429130 |
| Fax: |
Provider Mailing Location
232 SANDY RIDGE DR
DAVENPORT
FL
338963020
Provider Mailing Phone/Fax
| Phone: | 8632429130 |
| Fax: |