# ANTHONY L CAPASSO MD PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013301696
- **Authorized official:** DR. ANTHONY L CAPASSO MD (PRESIDENT/OWNER)
- **Authorized official phone:** (904) 249-9995

## Contact information

- **Practice address:** 1351 13TH AVE S STE 110, JACKSONVILLE BEACH, FL 32250-3237
- **Practice address phone:** (904) 249-9995
- **Practice address fax:** (904) 249-9449
- **Mailing address:** 1351 13TH AVE S STE 110, JACKSONVILLE BEACH, FL 32250-3237
- **Mailing address phone:** (904) 249-9995
- **Mailing address fax:** (904) 249-9449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2015
- **Last updated:** 03/24/2015