Individual
TERESA LIZBETH CAPRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HCBS PROVIDER
Contact information
Practice address
13711 SW 52ND PL, SOUTHWEST RANCHES, FL 33330-2523
(954) 434-3184
(954) 440-3156
Mailing address
3200 SW 116TH AVE, DAVIE, FL 33330-1720
(954) 436-1900
(954) 440-3156
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10-3044GH
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692249096
—
FL
Enumeration date
02/09/2022
Last updated
02/09/2022
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