Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Marie Cuomo

Individual provider Physician Assistant · NPI 1629849971

Nicole Marie Cuomo is a Physician Assistant in Tampa, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-4673
Fax: (813) 449-8618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9515 Phipps Ln, Wellington, FL 33414-3403 — (609) 915-0578

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121947 (FL)

Record details

NPI number1629849971
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2024
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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