Provider Demographics
NPI:1245584200
Name:CAPS MEDICAL MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CAPS MEDICAL MANAGEMENT, LLC
Other - Org Name:UNIMED HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-428-3500
Mailing Address - Street 1:1800 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1484
Mailing Address - Country:US
Mailing Address - Phone:954-428-3500
Mailing Address - Fax:954-428-0839
Practice Address - Street 1:750 E SAMPLE RD
Practice Address - Street 2:BLDG 3, BAY 6
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5144
Practice Address - Country:US
Practice Address - Phone:954-943-8737
Practice Address - Fax:954-943-1358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9278137261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care