Capulong, Rene
Capulong, Rene is an individual health care provider with primary practice located at 2511 Junior St , Orange City FL 32763-8000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Capulong, Rene can be contacted via phone (386) 736-7600.Contact Information
Primary practice address
2511 Junior St
Orange City FL 32763-8000
Phone: (386) 736-7600
Fax: (386) 738-4649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME17644 | Florida |
Profile Details
| NPI number | 1316927130 |
|---|---|
| LBN Legal business name | Capulong, Rene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316927130 | NPPES |
| Florida | MEDICAID | 053163400 |
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