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NPI Code Detail

MEDICARE: DR. NICHOLAS FRANK CAPUTO D.C

MEDICARE: DR. NICHOLAS FRANK CAPUTO D.C
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
1111N00000XChiropractorCH11300FL

General Provider Information

NPI Number : 1164821047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS FRANK CAPUTO D.C
Provider Business Mailing Address
First Line : 1791 BOY SCOUT DR
Second Line : SUITE 6
City : FORT MYERS
State : FL
Zip : 33907-2137
Country : US
Telephone Number : 239-332-2555
Fax Number : 239-332-2556
Provider Business Practice Location Address
First Line : 1791 BOY SCOUT DR
Second Line : SUITE 6
City : FORT MYERS
State : FL
Zip : 33907-2137
Country : US
Telephone Number : 239-332-2555
Fax Number : 239-332-2556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2014
Last Update Date : 08/18/2014

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