| Organization Name: | ANTHONY L CAPASSO MD PRIMARY CARE |
| NPI Number: | 1013301696 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY L CAPASSO (PRESIDENT/OWNER) |
| Mailing Address: | 1351 13th Ave S Ste 110 Jacksonville Beach |
| State: | FL US |
| Postal Code: | 322503237 |
| Phone Number: | 9042499995 |
| Fax Number: | 9042499449 |
| NPI Enumeration Date: | 03/23/2015 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |