MEDICARE: MS. MARIA I CAPOTE RRT

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	2279G1100X	General Care Registered Respiratory Therapist	2381	FL

General Provider Information

NPI Number	:	1184852006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA I CAPOTE RRT

Provider Business Mailing Address
First Line	:	7305 NORTH MILITARY TRAIL
Second Line	:
City	:	WEST PALM BCH
State	:	FL
Zip	:	33410-6400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7305 NORTH MILITARY TRAIL
Second Line	:
City	:	WEST PALM BCH
State	:	FL
Zip	:	33410-6400
Country	:	US
Telephone Number	:	561-422-7491
Fax Number	:

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

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	06/30/2009

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