Provider Demographics
NPI:1669851598
Name:CAPE CENTER MEDICINE PLLC
Entity Type:Organization
Organization Name:CAPE CENTER MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDIP
Authorized Official - Middle Name:SUBHASHBHAI
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-426-3332
Mailing Address - Street 1:PO BOX 87193
Mailing Address - Street 2:CAPE CENTER MEDICINE PLLC
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-7193
Mailing Address - Country:US
Mailing Address - Phone:910-426-3332
Mailing Address - Fax:910-426-3340
Practice Address - Street 1:3653 CAPE CENTER DRIVE
Practice Address - Street 2:CAPE CENTER MEDICINE PLLC
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4457
Practice Address - Country:US
Practice Address - Phone:910-426-3332
Practice Address - Fax:910-426-3340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty