Basic Information
| Provider Information | |||||||||
| NPI: | 1447339619 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WILLIAM A CAPO MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6101 WEBB RD | ||||||||
| Address2: | STE 106 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336152859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138888887 | ||||||||
| FaxNumber: | 8132492622 | ||||||||
| Practice Location | |||||||||
| Address1: | 6101 WEBB RD | ||||||||
| Address2: | STE 106 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336152859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138888887 | ||||||||
| FaxNumber: | 8132492622 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2006 | ||||||||
| LastUpdateDate: | 06/15/2010 | ||||||||
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| AuthorizedOfficialLastName: | CAPO | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO PHYSICAIN | ||||||||
| AuthorizedOfficialTelephone: | 8138888887 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.