Healthcare Provider Details

I. General information

NPI: 1952300394
Provider Name (Legal Business Name): BARBARA A CAPPABIANCO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 N MILLS AVE
ORLANDO FL
32803-1849
US

IV. Provider business mailing address

1613 N MILLS AVE
ORLANDO FL
32803-1849
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-4474
  • Fax: 407-894-7136
Mailing address:
  • Phone: 407-894-4474
  • Fax: 407-894-7136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number741792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: