Healthcare Provider Details

I. General information

NPI: 1588891956
Provider Name (Legal Business Name): DANIELA A CAPOTA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N CONGRESS AVE STE 100
BOYNTON BEACH FL
33426-3336
US

IV. Provider business mailing address

1101 N CONGRESS AVE STE 100
BOYNTON BEACH FL
33426-3336
US

V. Phone/Fax

Practice location:
  • Phone: 561-737-9996
  • Fax: 833-450-4864
Mailing address:
  • Phone: 561-737-9996
  • Fax: 833-450-4864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME116864
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME116864
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: