Individual
DR. ELLISE CATHERINE CAPPUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
129021
OH
207LP3000X
Pediatric Anesthesiology Physician
275209
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME160511
FL
Other
Enumeration date
03/22/2012
Last updated
01/26/2023
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