Provider Demographics
NPI:1992730741
Name:COX, JAMES BYRL JR (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BYRL
Last Name:COX
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:BYRL
Other - Last Name:COX
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:3210 JENKS AVENUE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4224
Mailing Address - Country:US
Mailing Address - Phone:850-763-0603
Mailing Address - Fax:850-769-5914
Practice Address - Street 1:3210 JENKS AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4224
Practice Address - Country:US
Practice Address - Phone:850-763-0603
Practice Address - Fax:850-769-5914
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist