Individual
PAVEL CAPOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801
Mailing address
4211 VAN DYKE RD STE 200, LUTZ, FL 33558-8005
(813) 321-6237
(813) 463-1801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME104299
FL
208M00000X
Hospitalist Physician
Primary
ME104299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001388500
—
FL
01
—
146A8
BC/BS
FL
Enumeration date
07/20/2009
Last updated
10/03/2022
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