Provider Demographics
NPI:1770572778
Name:DIGIOVANNI, ROBERT (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DIGIOVANNI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13644 WALSINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-3532
Mailing Address - Country:US
Mailing Address - Phone:727-595-2519
Mailing Address - Fax:727-595-3872
Practice Address - Street 1:13644 WALSINGHAM RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-3532
Practice Address - Country:US
Practice Address - Phone:727-595-2519
Practice Address - Fax:727-595-3872
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4542207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL388448OtherUNITED HEALTHCARE COMMERCIAL AND MEDICARE PLANS
462255OtherMAIL HANDLERS BENEFIT PLAN (MHBP)
FL0910000OtherCIGNA PPO/HMO, OPEN ACCESS AND GREATWEST
FL82623OtherOUT OF STATE BLUE CROSS BLUE SHIELD
591273247OtherUHC EMPIRE PLAN
FL047672200Medicaid
FL205771OtherAVMED
FL82623OtherBLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE AND TRADITIONAL BCBS
FL82623OtherBCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE
D27379Medicare UPIN
FL82623OtherOUT OF STATE BLUE CROSS BLUE SHIELD