Provider Demographics
NPI:1821059304
Name:CAMPITELLI, ROBERT R (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:CAMPITELLI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4623 FOREST HILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-7469
Mailing Address - Country:US
Mailing Address - Phone:561-967-8888
Mailing Address - Fax:561-641-8303
Practice Address - Street 1:8200 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2003
Practice Address - Country:US
Practice Address - Phone:561-964-1111
Practice Address - Fax:561-967-3144
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0005662207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
102246OtherUNITED HEALTHCARE
80205OtherBCBS
1040809OtherCIGNA
4304531OtherAETNA
206082OtherAVMED
E46026OtherVISTA
003427OtherNHP
4304531OtherAETNA
102246OtherUNITED HEALTHCARE
1040809OtherCIGNA