MEDICARE: DR. MICHAEL CAPECE LMFT, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	286	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	292	OTHER	FL	LMHC
2	286	OTHER	FL	LMFT
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760490155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL CAPECE LMFT, LMHC

Provider Business Mailing Address
First Line	:	2744 SW 14TH DR
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-2054
Country	:	US
Telephone Number	:	352-339-2094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 NW 6TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-4245
Country	:	US
Telephone Number	:	352-379-2829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	04/27/2018

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