Active NPI
Ep Critical Care LLC
- Critical Care Medicine (Internal Medicine) Physician
- Ft Lauderdale, FL
National Provider Identifier
1851912943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- EP CRITICAL CARE LLC
- Practice address
- 4725 N Federal Hwy
Ft Lauderdale, FL 33308-4603 - Phone
- (954) 771-8000
- NPI assigned
- Apr 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Caputo, MD
- Title
- President
- Phone
- (918) 527-7024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
4725 N Federal Hwy
Ft Lauderdale, FL 33308-4603
Mailing address
PO Box 24847
Jacksonville, FL 32241-4847
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618790400000",
"number": "1851912943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24847",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322414847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-771-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EP CRITICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-30",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A",
"authorized_official_last_name": "CAPUTO",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-527-7024",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.