Provider Demographics
NPI:1740764349
Name:J CAPOTE PEDIATRICS, P.A.
Entity Type:Organization
Organization Name:J CAPOTE PEDIATRICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPOTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-355-9374
Mailing Address - Street 1:6995 PROFESSIONAL PARKWAY E
Mailing Address - Street 2:UNIT C
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240
Mailing Address - Country:US
Mailing Address - Phone:941-355-9374
Mailing Address - Fax:941-355-9379
Practice Address - Street 1:6995 PROFESSIONAL PARKWAY EAST
Practice Address - Street 2:UNIT C
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240
Practice Address - Country:US
Practice Address - Phone:941-355-9374
Practice Address - Fax:941-355-9379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME90071OtherMEDICAL LICSENSE