Doctor Name: | DR. STANLEY KAPUCHINSKI |
NPI Number: | 1407828791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME86571 |
Business Practice Address: | 25166 Marion Ave Ste 111 Punta Gorda, FL - 339504052 |
Business Phone Number: | 9412053333 |
Business Fax Number: | 9412053334 |
Mailing Address: | 25166 Marion Avenue, Suite 111, PUNTA GORDA |
State: | FL |
Postal Code: | 33950 |
Phone Number: | 9412053333 |
Fax Number: | 9412053334 |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 01/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME86571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |