MEDICARE: RICHARD J CAPIOLA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME91317	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124146055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD J CAPIOLA M.D.

Provider Business Mailing Address
First Line	:	704 GOODLETTE-FRANK RD N STE 222
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5644
Country	:	US
Telephone Number	:	239-649-7494
Fax Number	:	877-894-4908

Provider Business Practice Location Address
First Line	:	704 GOODLETTE-FRANK RD N STE 222
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5644
Country	:	US
Telephone Number	:	239-649-7494
Fax Number	:	877-894-4908

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	12/04/2022

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