Individual
ANGELO JOSEPH CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8823 SAN JOSE BLVD STE 209, JACKSONVILLE, FL 32217-4288
(516) 724-6020
Mailing address
8680 BAYMEADOWS RD E APT 1626, JACKSONVILLE, FL 32256-4007
(516) 724-6020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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