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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316927130 NPPES
Florida MEDICAID 053163400

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