MEDICARE: MICHAEL CAPOTE P.T.

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	225100000X	Physical Therapist	PT22008	FL

General Provider Information

NPI Number	:	1326247206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CAPOTE P.T.

Provider Business Mailing Address
First Line	:	4483 NW 36TH ST
Second Line	:	SUITE 120
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7260
Country	:	US
Telephone Number	:	305-888-7555
Fax Number	:	305-888-7410

Provider Business Practice Location Address
First Line	:	20215 NW 2ND AVE
Second Line	:	SUITE 3
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-2538
Country	:	US
Telephone Number	:	305-653-7720
Fax Number	:	305-653-2099

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

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	07/12/2007

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Directions to “ MICHAEL CAPOTE P.T.” Practice Location

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