Organization Name: | DR. ANTHONY L. CAPASSO M. D. |
NPI Number: | 1699936492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY L CAPASSO (CEO OF CORPORATION) |
Mailing Address: | 1351 13th Ave S Ste # 110 Jacksonville Beach |
State: | FL US |
Postal Code: | 322503234 |
Phone Number: | 9042499995 |
Fax Number: | 9042499449 |
NPI Enumeration Date: | 06/24/2008 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME 69518 |
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. |