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NPI Code Detail

MEDICARE: EDWARD A CAPONE D.O.

MEDICARE: EDWARD A CAPONE D.O.
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
1207Q00000XFamily Medicine PhysicianOS0003776FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5080074039OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1262621OTHERFLAVMED
201372OTHERFLUNIVERSAL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
401-05310OTHERFLUNITED HEALTH CARE
611151702OTHERFLCITRUS GCMC2
72151031OTHERFLAETNA HMO
882146OTHERFLBLUE CROSS BLUE SHIELD OF FLORIDA
94658471OTHERFLAETNA PPO
1011151701OTHERFLCITRUS GCMC 1
116100347OTHERFLGHI
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396749131
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD A CAPONE D.O.
Provider Business Mailing Address
First Line : 11528 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-1442
Country : US
Telephone Number : 727-868-2151
Fax Number : 727-868-8251
Provider Business Practice Location Address
First Line : 11528 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-1442
Country : US
Telephone Number : 727-868-2151
Fax Number : 727-868-7379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/30/2009

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Practice Location Address:
11528 US HIGHWAY 19
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1518945500 — DOUGLAS A JORDAN JR. D.P.M.
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1700852357 — GULF COAST MED CTR PHYSICAL THERAPY
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1437125002 — MICHAEL S STROBBE D.O.
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1386675635 — BERNARD FREEMAN MOYE ARNP-BC
Practice Location Address:
11528 U S HWY 19
PORT RICHEY, FL
34668-1442
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1447413711 — CHRISTA M. SMITH DPT
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Directions to “ EDWARD A CAPONE D.O.” Practice Location

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