Individual
LARISSA CAPUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
1860 SEAHAWK LN, NAVARRE, FL 32566-8530
(727) 470-7950
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9344203
FL
Other
Enumeration date
07/29/2016
Last updated
02/20/2017
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