| Elizabeth Cupo | |
|
1811 Englewood Rd Ste 350 Englewood FL 34223-1822 | |
| (941) 228-8084 | |
| Not Available |
| Full Name | Elizabeth Cupo |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1811 Englewood Rd Ste 350, Englewood, Florida |
| Authorized Official Name and Position | Elizabeth Cupo (COUNSELOR) |
| Authorized Official Contact | 9412288084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Cupo Po Box 2233 Sarasota FL 34230-2233 Ph: (941) 228-8084 | Elizabeth Cupo 1811 Englewood Rd Ste 350 Englewood FL 34223-1822 Ph: (941) 228-8084 |
| NPI Number | 1326699414 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326699414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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