MEDICARE: DR. DAVID AARON CUPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	22DI02804700	NJ
2	122300000X	Dentist	DN24969	FL

General Provider Information

NPI Number	:	1215545322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID AARON CUPO

Provider Business Mailing Address
First Line	:	960 ARTHUR GODFREY RD STE 400
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3347
Country	:	US
Telephone Number	:	305-914-2876
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 ARTHUR GODFREY RD STE 400
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3347
Country	:	US
Telephone Number	:	305-914-2876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2020
Last Update Date	:	05/07/2025

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