Provider Information for 1477719029
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Mr. JOHN PETER CAPORALE MA,LMHC
Sex: Male
NPI: 1477719029
Last Updated: 2008-08-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477719029 | ||||||||
| Enumeration Date | 2008-08-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 500 N JEFFERSON AVE UNIT H5 SARASOTA, FL 34237-5111 United States Phone: 941-650-1284 | Fax: | ||||||||
| Primary Practice Address | 3205 SOUTH TUTTLE AVE SUITE 12 SARASOTA, FL 34239 United States Phone: 941-650-1284 | Fax: | ||||||||
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