Organization
DR. ANTHONY L. CAPASSO M. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY L CAPASSO M.D. (CEO OF CORPORATION)
(904) 249-9995
Entity
Organization
Contact information
Practice address
1351 13TH AVE S, STE # 110, JACKSONVILLE BEACH, FL 32250-3234
(904) 249-9995
(904) 249-9449
Mailing address
1351 13TH AVE S, STE # 110, JACKSONVILLE BEACH, FL 32250-3234
(904) 249-9995
(904) 249-9449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 69518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28510A
MEDICARE PTAN
FL
Enumeration date
06/24/2008
Last updated
11/19/2014
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