MEDICARE: MRS. PENELOPE ANN CUOCO A.R.N.P.

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	ARNP1521692	FL

General Provider Information

NPI Number	:	1457343519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PENELOPE ANN CUOCO A.R.N.P.

Provider Business Mailing Address
First Line	:	500 N HIATUS RD STE 201
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-5213
Country	:	US
Telephone Number	:	954-381-8989
Fax Number	:	954-381-8950

Provider Business Practice Location Address
First Line	:	500 N HIATUS RD STE 201
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-5213
Country	:	US
Telephone Number	:	954-381-8989
Fax Number	:	954-381-8950

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	06/17/2019

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Directions to “ MRS. PENELOPE ANN CUOCO A.R.N.P.” Practice Location

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