| Capitol Ms Inc | |
|
4011 Broadway West Palm Beach FL 33407-4139 | |
| (561) 882-0382 | |
| (561) 882-0383 |
| Full Name | Capitol Ms Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4011 Broadway, West Palm Beach, Florida |
| Authorized Official Name and Position | Jose R Perez (PRESIDENT) |
| Authorized Official Contact | 5618820382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Ms Inc 4011 Broadway West Palm Beach FL 33407-4139 Ph: (561) 882-0382 | Capitol Ms Inc 4011 Broadway West Palm Beach FL 33407-4139 Ph: (561) 882-0382 |
| NPI Number | 1912088873 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912088873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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