Provider Demographics
NPI:1750578910
Name:COCCARO-WORD, BEATRIZ E (NP)
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:E
Last Name:COCCARO-WORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 SE 47TH TER OFC 203-1
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9000
Mailing Address - Country:US
Mailing Address - Phone:239-292-7720
Mailing Address - Fax:239-257-1149
Practice Address - Street 1:909 SE 47TH TER OFC 203-1
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9000
Practice Address - Country:US
Practice Address - Phone:239-292-7720
Practice Address - Fax:239-257-1149
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9415064363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P40869Medicare UPIN