Individual
NICOLE COUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2501 N ORANGE AVE STE 581, ORLANDO, FL 32804-4647
(407) 303-1300
(407) 303-1301
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-8588
(321) 841-8560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
20171
SC
363LP0200X
Pediatric Nurse Practitioner
ARNP9443202
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9443202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023688500
—
FL
Enumeration date
05/12/2016
Last updated
05/08/2024
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