Healthcare Provider Details

I. General information

NPI: 1134839681
Provider Name (Legal Business Name): SUZANNE VENUTI-COHEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 NW BOCA RATON BLVD STE 200
BOCA RATON FL
33431-6663
US

IV. Provider business mailing address

2595 NW BOCA RATON BLVD STE 200
BOCA RATON FL
33431-6663
US

V. Phone/Fax

Practice location:
  • Phone: 561-444-7751
  • Fax:
Mailing address:
  • Phone: 561-444-7751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9216321
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11024577
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11024577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: