Provider Demographics
NPI:1114193398
Name:CAPUTO, SYLVIA CONCETTA
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:CONCETTA
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 REDHAWK DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655
Mailing Address - Country:US
Mailing Address - Phone:727-237-8135
Mailing Address - Fax:727-376-3105
Practice Address - Street 1:5737 REDHAWK DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1236
Practice Address - Country:US
Practice Address - Phone:727-237-8135
Practice Address - Fax:727-376-3105
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL692555396Medicaid
FL692555398Medicaid