Healthcare Provider Details

I. General information

NPI: 1023077690
Provider Name (Legal Business Name): COLETTE CAPUTO PA C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 W ATLANTIC AVE
DELRAY BEACH FL
33484
US

IV. Provider business mailing address

6140 WEST ATLANTIC AVE.
DELRAY BEACH FL
33484-8409
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-4407
  • Fax: 561-498-4480
Mailing address:
  • Phone: 561-498-4407
  • Fax: 561-498-4407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9102777
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: