Healthcare Provider Details

I. General information

NPI: 1528567773
Provider Name (Legal Business Name): CAPE ENT, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17005 OLD ORCHARD RD
LEWES DE
19958-4828
US

IV. Provider business mailing address

17005 OLD ORCHARD RD
LEWES DE
19958-4828
US

V. Phone/Fax

Practice location:
  • Phone: 302-703-4025
  • Fax: 302-703-4027
Mailing address:
  • Phone: 302-703-4025
  • Fax: 302-703-4027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: R. ALAN COKER
Title or Position: OFFICE MANAGER
Credential:
Phone: 302-703-4025