Individual
EDWARD A CAPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668-1442
(727) 868-2151
(727) 868-7379
Mailing address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668-1442
(727) 868-2151
(727) 868-8251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0003776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-05310
UNITED HEALTH CARE
FL
01
—
01372
UNIVERSAL
FL
05
—
059405900
—
FL
01
—
080074039
RAILROAD MEDICARE
FL
01
—
11151701
CITRUS GCMC 1
FL
01
—
11151702
CITRUS GCMC2
FL
01
—
2151031
AETNA HMO
FL
01
—
262621
AVMED
FL
01
—
4658471
AETNA PPO
FL
01
—
6100347
GHI
FL
01
—
82146
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/09/2005
Last updated
11/30/2009
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