MEDICARE: MRS. LUCY MARINA TROVATO NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9396948	FL

General Provider Information

NPI Number	:	1417905621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LUCY MARINA TROVATO NP

Provider Business Mailing Address
First Line	:	4855 W HILLSBORO BLVD STE B13
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4365
Country	:	US
Telephone Number	:	954-480-9182
Fax Number	:	954-420-9184

Provider Business Practice Location Address
First Line	:	4855 W HILLSBORO BLVD STE B13
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4365
Country	:	US
Telephone Number	:	954-420-9182
Fax Number	:	954-420-9184

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	12/01/2017

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