Doctor Name: | JOAN CAPPELL |
NPI Number: | 1033468319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ADULT NP |
License Number: | ARNP9339226 |
Business Practice Address: | 5635 Swan Lake Dr Port Orange, FL - 321284514 |
Business Phone Number: | 3014713062 |
Business Fax Number: | |
Mailing Address: | 8 Mirror Lake Dr, ORMOND BEACH |
State: | FL |
Postal Code: | 321743101 |
Phone Number: | 3866732500 |
Fax Number: | 3866766349 |
NPI Enumeration Date: | 09/03/2012 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | ARNP9339226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |