DR. ANTHONY L. CAPASSO M. D. NPI 1699936492

NPI Information

NPI: 1699936492
Provider Name: DR. ANTHONY L. CAPASSO M. D.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1351 13TH AVE S
STE # 110
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 249-9995
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DR. ANTHONY L. CAPASSO M. D. is a specialist in Jacksonville Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. ANTHONY L. CAPASSO M. D. NPI is 1699936492. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1351 13TH AVE S
STE # 110
JACKSONVILLE BEACH, FL
ZIP 32250-234
Phone: (904) 249-9995
Fax: (904) 249-9449

The provider's authorized official is Anthony L Capasso .
The authorized official title is Ceo Of Corporation and has the following contact phone number (904) 249-9995.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 11/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME 69518	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	FLORIDA	TAX IDENTIFICATION NUMBER
2	28510A	OTHER	FLORIDA	MEDICARE PTAN
3	G63186	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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