Healthcare Provider Details

I. General information

NPI: 1932638947
Provider Name (Legal Business Name): ROSALIA CUOZZO-TAYLOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSALIA CUOZZO MD

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 07/19/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7243 DELLA DR STE K
ORLANDO FL
32819-5106
US

IV. Provider business mailing address

7243 DELLA DR STE K
ORLANDO FL
32819-5106
US

V. Phone/Fax

Practice location:
  • Phone: 407-381-7366
  • Fax: 321-203-4630
Mailing address:
  • Phone: 407-381-7366
  • Fax: 321-203-4630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125070343
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME144669
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: