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Craig Michael Cappola

Physician Assistant in Boca Raton, FL. Individual provider (NPI-1).

NPI number1316616618
StatusActive
Last updated in NPPESSep 9, 2021

Details

NPI
1316616618
Entity type
Individual (NPI-1)
Name
Craig Michael Cappola
Sex
Male
Sole proprietor
No
Enumeration date
Sep 9, 2021
Certification date
Sep 9, 2021
Last updated
Sep 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9114866FLYes

Practice location

950 Glades Rd Ste 4a
Boca Raton, FL 33431-6401

Phone 561-391-8086

Mailing address

4855 W Hillsboro Blvd Ste B2
Coconut Creek, FL 33073-4356

Phone 954-418-1683

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