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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE MARIE CUOMO
NPI 1629849971
Physician Assistant in Tampa, FL

Active since January 15, 2024
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673(813) 449-8618 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Marie Cuomo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE CUOMO (NPI 1629849971) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9121947) and active in the NPI registry since January 2024. She maintains a secondary practice location in Wellington.

NPPES Registry Identity

NPI1629849971
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE CUOMO
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673 · Fax (813) 449-8618
Phone(813) 745-4673
Fax(813) 449-8618
Sole ProprietorYes
Enumeration DateJanuary 15, 2024
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1629849971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9121947
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12902 USF MAGNOLIA DR, Tampa, FL 33612
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Secondary Practice Location 1

Location 19515 Phipps LnWellington, FL 33414-3403 · Phone (609) 915-0578

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL MARTIN WACH MD
Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-2916
ASTI ELIZABETH REGO APRN
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
MR. NIEMA BRANDON RAZAVIAN MD
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (137) 457-3658
BRANDON HOLMES
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
FRANCES IVELISSE BERNARDO MERCADO PA-C
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
SADHVI BATRA MD
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
JING WANG M.D.
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
TARYN N RAVAL APRN
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Cuomo's NPI number?

The NPI number for Nicole Cuomo is 1629849971. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Nicole Cuomo located?

Nicole Cuomo practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.

What is Nicole Cuomo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicole Cuomo was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.