HENRY RICHARD COZINE (NPI# 1659343275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659343275 |
| Entity Type | Individual |
| Full Name | HENRY RICHARD COZINE |
| Credential | PA |
| Practice Address |
2475 Garrison Ave Port St Joe FL 32456-5265 |
| Mailing Address |
2024 Indian Pass Rd Port St Joe FL 32456-7816 |
| Practice Telephone | 8502271276 |
| Practice Fax Number | 8502271794 |
| Mailing Telephone | 8502271276 |
| Mailing Fax Number | 8502271794 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2182 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2475 GARRISON AVE |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828189 | Florida Department of Health | Public Health or Welfare | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2006-02-06 |
| 1043688831 | Eric Haynam | Dentist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2015-09-10 |
| 1235419094 | Patricia A Hammonds | Nurse Practitioner | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2011-08-25 |
| 1992012181 | Tallahassee Orthopedic Clnic IIi Pl | Prosthetic/Orthotic Supplier | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2010-09-09 |
| 1124256201 | Patricia A Fults | Dental Hygienist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2009-06-26 |
| 1285883918 | Brittany Jade Beauchamp | Registered Nurse | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2008-09-18 |
| 1932357316 | Jill Marlene Nance | Social Worker | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2008-08-28 |
| 1477676237 | St Joseph Care of Florida, Inc. | Public Health or Welfare | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-04-09 |
| 1174643233 | Rita Faye Thompson | Registered Nurse | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-03-30 |
| 1730219254 | Barbara Ann Mcdermid | Social Worker | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225214562 | Ronald David Watson | Physician Assistant | 300 Long Ave, Port St Joe, FL 32456-1706 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.