Individual
DR. ANTHONY L CAPASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1351 13TH AVE S STE 105-110, JACKSONVILLE BEACH, FL 32250-3234
(904) 694-0992
(904) 595-5344
Mailing address
1351 13TH AVE S STE 110, JACKSONVILLE BEACH, FL 32250-3237
(904) 694-0992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 0069518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28510A
BLUE CROSS BLUE SHIELD ID
—
Enumeration date
06/21/2005
Last updated
05/29/2024
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