Dr. Anthony L. Capasso M. D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 69518 Issued in FL

Legal business name

DR. ANTHONY L. CAPASSO M. D.

Practice address

1351 13TH Ave S
Ste # 110
Jacksonville Beach, FL 32250-3234

Phone

(904) 249-9995

Fax

(904) 249-9449

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anthony L Capasso, M.D.

Title

Ceo of Corporation

Phone

(904) 249-9995

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1699936492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 13TH AVE S",
            "address_2": "STE # 110",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503234",
            "telephone_number": "904-249-9995",
            "fax_number": "904-249-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 13TH AVE S",
            "address_2": "STE # 110",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503234",
            "telephone_number": "904-249-9995",
            "fax_number": "904-249-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANTHONY L. CAPASSO M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "CAPASSO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO OF CORPORATION",
        "authorized_official_telephone_number": "904-249-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 69518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "28510A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Margaret Dorsey, DNP, FNP-C, APRN
• Kathleen Dougherty
• Jennifer Dowling, LMHC
• Kristin Mary Doyle, APRN
• Dr Stuart Kimmel DDS PA
• Dr. Janet Fienemann
• Dr. Kathryn Esquer, LLC
• Sarah Sevier Drew, PH.D.
• Samantha K Droogsma, M.S. CCC-SLP
• DRS. McClow, Clark & Berk PA

• Specialist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.