Provider Demographics
NPI:1922298868
Name:COX, MARCUS JEREMY (MD)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:JEREMY
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:882 E COAST DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-5467
Mailing Address - Country:US
Mailing Address - Phone:904-553-1356
Mailing Address - Fax:
Practice Address - Street 1:882 E COAST DR
Practice Address - Street 2:
Practice Address - City:ATLANTIC BEACH
Practice Address - State:FL
Practice Address - Zip Code:32233-5467
Practice Address - Country:US
Practice Address - Phone:904-553-1356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121540207R00000X, 207RC0000X
UT10764019-1205207RC0000X
CODR.0063096207RC0000X
IDM-15885207RC0000X
CAC174805207RC0000X
ORMD213644207RC0000X
PAMD470318207RC0000X
KY60557207RC0000X
NC2016-02243207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013364500Medicaid
PAMD470318OtherMEDICAL LICENSE
FL013364500Medicaid
SCAA2716Medicare UPIN
SCAA27167951Medicare PIN
FL37334YMedicare PIN
SCAA27163640Medicare PIN