Fallucco, Elise Michelle

Fallucco, Elise Michelle is an individual health care provider with primary practice located at 580 W 8Th St , Jacksonville FL 32209-6533. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Fallucco, Elise Michelle can be contacted via phone (904) 383-1038.

Contact Information

Primary practice address
580 W 8Th St Jacksonville FL 32209-6533
Phone: (904) 383-1038
Fax: (904) 244-3425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME109877 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2008007446 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME109877 Florida

Profile Details

NPI number 1336235043
LBN Legal business name Fallucco, Elise Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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