Healthcare Provider Details

I. General information

NPI: 1205075728
Provider Name (Legal Business Name): DEEPAK KAPILA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 NW 4TH ST SUITE 102
PLANTATION FL
33317-2247
US

IV. Provider business mailing address

7050 NW 4TH ST SUITE 102
PLANTATION FL
33317-2247
US

V. Phone/Fax

Practice location:
  • Phone: 954-584-3001
  • Fax: 954-584-3013
Mailing address:
  • Phone: 954-584-3001
  • Fax: 954-584-3013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME42164
License Number StateFL

VIII. Authorized Official

Name: DEEPAK KAPILA
Title or Position: MD
Credential:
Phone: 954-584-3001