Provider Demographics
NPI:1164821047
Name:CAPUTO, NICHOLAS FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:FRANK
Last Name:CAPUTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1791 BOY SCOUT DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-2137
Mailing Address - Country:US
Mailing Address - Phone:239-332-2555
Mailing Address - Fax:239-332-2556
Practice Address - Street 1:1791 BOY SCOUT DR
Practice Address - Street 2:SUITE 6
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-2137
Practice Address - Country:US
Practice Address - Phone:239-332-2555
Practice Address - Fax:239-332-2556
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor