Individual
DR. ROBERT S CAPUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
194 E REDSTONE AVE, SUITE B, CRESTVIEW, FL 32539-6428
(850) 398-8873
(850) 398-8897
Mailing address
194 E REDSTONE AVE, SUITE B, CRESTVIEW, FL 32539-5368
(850) 398-8873
(850) 398-8897
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS0005464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049071700
—
FL
01
—
593537819
FEDERAL TAX IDENTIFICATIO
FL
Enumeration date
07/11/2006
Last updated
01/18/2013
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