MEDICARE: WILLIAM A CAPO MD

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	207RC0000X	Cardiovascular Disease Physician	ME	FL

General Provider Information

NPI Number	:	1356316822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM A CAPO MD

Provider Business Mailing Address
First Line	:	38135 MARKET SQ
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-7505
Country	:	US
Telephone Number	:	813-528-4975
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 WEBB RD
Second Line	:	STE 106
City	:	TAMPA
State	:	FL
Zip	:	33615-2872
Country	:	US
Telephone Number	:	813-888-8887
Fax Number	:	813-249-2622

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

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	08/30/2021

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