Provider Demographics
NPI:1174337711
Name:COX, JOHN CODY (MSN, ANCC FNP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CODY
Last Name:COX
Suffix:
Gender:M
Credentials:MSN, ANCC FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 W CHURCH ST APT 301
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-2288
Mailing Address - Country:US
Mailing Address - Phone:407-242-7618
Mailing Address - Fax:
Practice Address - Street 1:5151 WINTER GARDEN VINELAND RD
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6098
Practice Address - Country:US
Practice Address - Phone:321-841-4344
Practice Address - Fax:321-841-4344
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038100363LF0000X
FLAPRN11038100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily