Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elise Michelle Fallucco, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1336235043

Dr. Elise Michelle Fallucco, MD is a Child & Adolescent Psychiatry Physician in Jacksonville, Florida. Licensed in Florida and Missouri. Registered with an NPI since 2006.

Licensed in
FL, MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

580 W 8th St
Jacksonville, FL 32209-6533
Phone: (904) 383-1038
Fax: (904) 244-3425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME109877 (FL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence ME109877 (FL)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 2008007446 (MO)

Record details

NPI number1336235043
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 18, 2017

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