Provider Demographics
NPI:1760572143
Name:CAPEZZUTI, JENNIFER SILVOY (DO)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SILVOY
Last Name:CAPEZZUTI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S DOUGLAS RD STE 308
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6134
Mailing Address - Country:US
Mailing Address - Phone:305-913-9454
Mailing Address - Fax:305-442-1198
Practice Address - Street 1:7351 W OAKLAND PARK BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-7107
Practice Address - Country:US
Practice Address - Phone:954-716-6100
Practice Address - Fax:954-533-0870
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023762500Medicaid