Individual
JENNIFER LYNNE COTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 E NASA BLVD STE 200, MELBOURNE, FL 32901-1954
(919) 844-9506
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-9272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11021715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115855500
—
FL
01
—
PY241
MEDICARE HF
FL
Enumeration date
02/22/2021
Last updated
03/29/2024
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