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NPI Code Detail

MEDICARE: KEVIN D CUZZO MSW

MEDICARE: KEVIN D CUZZO MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1346682606
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN D CUZZO MSW
Provider Business Mailing Address
First Line : 2400 S RIDGEWOOD AVE
Second Line :
City : SOUTH DAYTONA
State : FL
Zip : 32119-3097
Country : US
Telephone Number : 631-678-2632
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-3097
Country : US
Telephone Number : 910-907-9089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2013
Last Update Date : 05/15/2025

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