Basic Information
| Provider Information | |||||||||
| NPI: | 1386615003 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAPOOCIA | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | BETH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14690 SPRING HILL DR STE 305 | ||||||||
| Address2: | |||||||||
| City: | SPRING HILL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346098102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522775348 | ||||||||
| FaxNumber: | 3526062857 | ||||||||
| Practice Location | |||||||||
| Address1: | 10494 NORTHCLIFFE BLVD | ||||||||
| Address2: | |||||||||
| City: | SPRING HILL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 34608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526863991 | ||||||||
| FaxNumber: | 3526660393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2006 | ||||||||
| LastUpdateDate: | 06/06/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS 9782 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OS013204 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OS9782 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.