Organization
CAPOTE'S INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL CAPOTE MD (MANAGER)
(813) 260-0706
Entity
Organization
Contact information
Practice address
937 SW 122ND AVE, MIAMI, FL 33184-2406
(813) 260-0706
Mailing address
937 SW 122ND AVE, MIAMI, FL 33184-2406
(813) 260-0706
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME104299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001388500
—
FL
01
—
146A8
B/C BS
FL
Enumeration date
10/07/2011
Last updated
09/04/2012
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