Organization
DR ANTHONY S CAPOZZI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY CAPOZZI (OWNER)
(386) 957-3905
Entity
Organization
Contact information
Practice address
1730 DUNLAWTON AVE STE 3, PORT ORANGE, FL 32127-8986
(386) 957-3905
Mailing address
136 JULIA ST UNIT 100, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9161
(386) 423-3094
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME105803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EP827Z
PTAN
FL
Enumeration date
08/31/2012
Last updated
05/24/2022
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