Organization
BEACH ORTHOPAEDIC & SPORTS MEDICINE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL WILLIAM CAPRA JR. MD (PRESIDENT/OWNER)
(850) 664-5633
Entity
Organization
Contact information
Practice address
1032 MAR WALT DR, SUITE 210, FORT WALTON BEACH, FL 32547-6645
(850) 664-5633
(850) 315-2664
Mailing address
1032 MAR WALT DR, SUITE 210, FORT WALTON BEACH, FL 32547-6645
(850) 664-5633
(850) 315-2664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME94278
FL
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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