Cape Coral Primary Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CAPE CORAL PRIMARY CARE LLC

Doing business as

Cape Coral Primary Care

Practice address

811 Del Prado Blvd S
Cape Coral, FL 33990-2666

Phone

(239) 360-2634

Fax

(239) 360-2701

NPI assigned

May 31, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adam Hall, DONPI 1376568451

Title

Owner

Phone

(239) 360-2638

Specialties & licenses 1

Addresses

Other names 1

• Cape Coral Primary Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam P Hall, D.O.

  • General Practice Physician
  • Cape Coral, FL
  • NPI 1376568451
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1407384795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902666",
            "telephone_number": "239-360-2638",
            "fax_number": "239-360-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902666",
            "telephone_number": "239-360-2634",
            "fax_number": "239-360-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CORAL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-360-2638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Coral Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cape Coral Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.