Provider Demographics
NPI:1356757314
Name:ROBERT A. CAIGNET, D.O.
Entity type:Organization
Organization Name:ROBERT A. CAIGNET, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAIGNET
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:863-675-7272
Mailing Address - Street 1:50 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:LABELLE
Mailing Address - State:FL
Mailing Address - Zip Code:33935-4729
Mailing Address - Country:US
Mailing Address - Phone:863-675-7272
Mailing Address - Fax:
Practice Address - Street 1:50 BELMONT ST
Practice Address - Street 2:
Practice Address - City:LABELLE
Practice Address - State:FL
Practice Address - Zip Code:33935-4729
Practice Address - Country:US
Practice Address - Phone:863-675-7272
Practice Address - Fax:863-675-7252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4972208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE71806Medicare UPIN