Basic Information
| Provider Information | |||||||||
| NPI: | 1508590621 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAFFO | ||||||||
| FirstName: | ALESKY | ||||||||
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| Credential: | MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2601 N NOB HILL RD APT 205 | ||||||||
| Address2: | |||||||||
| City: | SUNRISE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333227127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546629189 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1131 N 35TH AVE FL 2 | ||||||||
| Address2: | |||||||||
| City: | HOLLYWOOD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330215403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542653658 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2022 | ||||||||
| LastUpdateDate: | 07/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 170300000X | GC190 | FL | Y | Other Service Providers | Genetic Counselor, MS |
No ID Information.