Provider Demographics
NPI:1649268962
Name:CHAMI, ROBERT GEORGE (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:GEORGE
Last Name:CHAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 VILLAGE SQUARE XING
Mailing Address - Street 2:STE 290
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4552
Mailing Address - Country:US
Mailing Address - Phone:239-437-8810
Mailing Address - Fax:239-313-2555
Practice Address - Street 1:1015 CROSSPOINTE DRIVE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:33908
Practice Address - Country:US
Practice Address - Phone:239-596-9075
Practice Address - Fax:239-596-9076
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35056970208200000X
FLME 91217208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0776674Medicaid
OH0776674Medicaid
C04295Medicare UPIN
OH0776674Medicaid
C04295Medicare UPIN
000000223367OtherANTHEM