Healthcare Provider Details
I. General information
NPI: 1700499076
Provider Name (Legal Business Name): CAPSTONE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2020
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10501 S ORANGE AVE STE 123
ORLANDO FL
32824-7749
US
IV. Provider business mailing address
10501 S ORANGE AVE STE 123
ORLANDO FL
32824-7749
US
V. Phone/Fax
- Phone: 407-992-8494
- Fax: 407-992-8495
- Phone: 407-992-8494
- Fax: 407-992-8495
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
M.
BRADEN
Title or Position: OWNER
Credential:
Phone: 407-992-8494