CAPSTONE PRIMARY CARE LLC NPI 1952992794

NPI Information

CAPSTONE PRIMARY CARE, LLC is a primary care nurse practitioner in Jacksonville, FL. CAPSTONE PRIMARY CARE, LLC NPI is 1952992794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2950 HALCYON LN STE 302
JACKSONVILLE, FL
ZIP 32223-690
Phone: (904) 503-7385
Fax: (904) 539-3031

The provider's authorized official is Jose Garcia .
The authorized official title is President and has the following contact phone number (904) 503-7385.

The CLIA number assigned to this NPI record is 10D2228718 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 2/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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