| Doctor Name: | HENRY RICHARD COZINE |
| NPI Number: | 1659343275 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA2182 |
| Business Practice Address: | 2475 Garrison Ave Port St Joe, FL - 324565265 |
| Business Phone Number: | 8502271276 |
| Business Fax Number: | 8502271794 |
| Mailing Address: | 2024 Indian Pass Rd, PORT ST JOE |
| State: | FL |
| Postal Code: | 324567816 |
| Phone Number: | 8502271276 |
| Fax Number: | 8502271794 |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA2182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |