Individual
MRS. BERTULIE COICOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1250 SOUTHWINDS DR, LANTANA, FL 33462-1459
(561) 547-6800
(561) 837-5332
Mailing address
1250 SOUTHWINDS DR, LANTANA, FL 33462-1459
(561) 547-6800
(561) 837-5332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 3027862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12789472
CAQH #
—
05
—
308136200
—
FL
Enumeration date
12/04/2006
Last updated
04/02/2015
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