MEDICARE: WILLIAM A CAPO MD PA

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		FL

General Provider Information

NPI Number	:	1447339619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM A CAPO MD PA

Provider Business Mailing Address
First Line	:	6101 WEBB RD
Second Line	:	STE 106
City	:	TAMPA
State	:	FL
Zip	:	33615-2859
Country	:	US
Telephone Number	:	813-888-8887
Fax Number	:	813-249-2622

Provider Business Practice Location Address
First Line	:	6101 WEBB RD
Second Line	:	STE 106
City	:	TAMPA
State	:	FL
Zip	:	33615-2859
Country	:	US
Telephone Number	:	813-888-8887
Fax Number	:	813-249-2622

Authorized Official
Title or Position	:	CEO PHYSICAIN
Name	:	WILLIAM A CAPO
Credential	:	MD
Telephone Number	:	813-888-8887

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	06/15/2010

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