Organization Name: | CAPE VISTA ENTERPRISES INC |
NPI Number: | 1073872289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADEBISI E WILLIAMS (CFO) |
Mailing Address: | 2734 Windguard Cir Suite 102 Wesley Chapel |
State: | FL US |
Postal Code: | 335447362 |
Phone Number: | 8139914333 |
Fax Number: | 8134402744 |
NPI Enumeration Date: | 05/08/2012 |
NPI Last Update Date: | 05/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | HCC9357 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |