MEDICARE: MARIE HOLT CUPIT APRN

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	APRN2202832	FL

General Provider Information

NPI Number	:	1689627895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE HOLT CUPIT APRN

Provider Business Mailing Address
First Line	:	2101 CENTRE PARK WEST DR STE 175
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6466
Country	:	US
Telephone Number	:	561-242-3009
Fax Number	:	561-690-0336

Provider Business Practice Location Address
First Line	:	2101 CENTRE PARK WEST DR STE 175
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6466
Country	:	US
Telephone Number	:	561-242-3009
Fax Number	:	561-242-3010

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	10/29/2019

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