Healthcare Provider Details

I. General information

NPI: 1215545322
Provider Name (Legal Business Name): DR. DAVID AARON CUPO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 ARTHUR GODFREY RD STE 400
MIAMI BEACH FL
33140-3347
US

IV. Provider business mailing address

960 ARTHUR GODFREY RD STE 400
MIAMI BEACH FL
33140-3347
US

V. Phone/Fax

Practice location:
  • Phone: 305-914-2876
  • Fax:
Mailing address:
  • Phone: 305-914-2876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02804700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN24969
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: