Healthcare Provider Details

I. General information

NPI: 1114831765
Provider Name (Legal Business Name): BEST LIFE SURGICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 SW 30TH ST STE 201
DAVIE FL
33328-1979
US

IV. Provider business mailing address

7950 SW 30TH ST STE 201
DAVIE FL
33328-1979
US

V. Phone/Fax

Practice location:
  • Phone: 888-411-1410
  • Fax: 609-357-9521
Mailing address:
  • Phone: 888-411-1410
  • Fax: 609-357-9521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAEL Z CAPOSOLE
Title or Position: CEO/SURGEON
Credential: DO
Phone: 609-330-0593