MEDICARE: CAPITAL MEDICAL CORPORATION

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	332B00000X	Durable Medical Equipment & Medical Supplies	842 CERT #9929	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932159621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 15013
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-5013
Country	:	US
Telephone Number	:	850-386-1978
Fax Number	:	850-386-3151

Provider Business Practice Location Address
First Line	:	1324 THOMASWOOD DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-7914
Country	:	US
Telephone Number	:	850-386-1978
Fax Number	:	850-386-3151

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE L. WOOD
Credential	:
Telephone Number	:	850-386-1978

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	11/13/2025

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Directions to “CAPITAL MEDICAL CORPORATION ” Practice Location

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