Provider Demographics
NPI:1730491135
Name:DEL CAMPO, ROBERTA SPENCER (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:SPENCER
Last Name:DEL CAMPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROBERTA
Other - Middle Name:ANN
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 WASHINGTON AVENUE
Mailing Address - Street 2:S. 210
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139
Mailing Address - Country:US
Mailing Address - Phone:305-672-1233
Mailing Address - Fax:305-673-6422
Practice Address - Street 1:555 WASHINGTON AVENUE
Practice Address - Street 2:S. 210
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139
Practice Address - Country:US
Practice Address - Phone:305-672-1233
Practice Address - Fax:305-673-6422
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119197207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology