Individual
DR. ELIZABETH A CROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33101-6960
(305) 355-9105
(305) 243-4061
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101-6960
(305) 355-9105
(305) 243-4061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME72649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540240-00
—
FL
Enumeration date
07/31/2006
Last updated
01/28/2014
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