Provider Demographics
NPI:1255380168
Name:CAPITAL MEDICAL AND SURGICAL INC.
Entity type:Organization
Organization Name:CAPITAL MEDICAL AND SURGICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P./OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:KLINE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-942-0198
Mailing Address - Street 1:2028 N POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4111
Mailing Address - Country:US
Mailing Address - Phone:850-942-0198
Mailing Address - Fax:850-224-0198
Practice Address - Street 1:2028 N POINT BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4111
Practice Address - Country:US
Practice Address - Phone:850-942-0198
Practice Address - Fax:850-224-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9539OtherBLUECROSS BLUE SHIELD
FL112704300Medicaid
GA974544199AMedicaid