Provider Demographics
NPI:1932638947
Name:CUOZZO-TAYLOR, ROSALIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALIA
Middle Name:
Last Name:CUOZZO-TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSALIA
Other - Middle Name:
Other - Last Name:CUOZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7243 DELLA DR STE K
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5106
Mailing Address - Country:US
Mailing Address - Phone:407-381-7366
Mailing Address - Fax:321-203-4630
Practice Address - Street 1:7243 DELLA DR STE K
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5106
Practice Address - Country:US
Practice Address - Phone:407-381-7366
Practice Address - Fax:321-203-4630
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125070343207Q00000X
FLME144669207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107534900Medicaid