Healthcare Provider Details

I. General information

NPI: 1700741147
Provider Name (Legal Business Name): CAPITAL MEDICAL AND SURGICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 W 14TH ST STE H
PANAMA CITY FL
32401-2251
US

IV. Provider business mailing address

2028 N POINT BLVD
TALLAHASSEE FL
32308-4111
US

V. Phone/Fax

Practice location:
  • Phone: 850-942-0198
  • Fax: 850-224-0198
Mailing address:
  • Phone: 850-942-0198
  • Fax: 850-224-0198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. HOWARD KLINE MILLER
Title or Position: GM
Credential:
Phone: 850-942-0198