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Provider Information for 1386615003

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. AMY BETH CAPOOCIA DO

Gender: FEMALE

Individual NPI: 1386615003

Calendar   Last Updated:  2018-06-06
  Certification Date: 

Details

Name Value
NPI 1386615003
Enumeration Date 2006-01-30
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 14690 SPRING HILL DR STE 305
SPRING HILL, FL 34609-8102
United States

Phone: 352-277-5348 | Fax: 352-606-2857
View Map External Link
Primary Practice Address 10494 NORTHCLIFFE BLVD
SPRING HILL, FL 34608
United States

Phone: 352-686-3991 | Fax: 352-666-0393
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL OS9782
No 207Q00000X - Family Medicine PA OS013204
No 207Q00000X - Family Medicine FL OS 9782