MEDICARE: DR. ROBERT R CAMPITELLI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS0005662	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	102246	OTHER	UNITED HEALTHCARE
2	80205	OTHER	BCBS
3	1040809	OTHER	CIGNA
4	4304531	OTHER	AETNA
5	206082	OTHER	AVMED
6	E46026	OTHER	VISTA
7	003427	OTHER	NHP

General Provider Information

NPI Number	:	1821059304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT R CAMPITELLI DO

Provider Business Mailing Address
First Line	:	4623 FOREST HILL BLVD
Second Line	:	SUITE 101
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-7469
Country	:	US
Telephone Number	:	561-967-8888
Fax Number	:	561-641-8303

Provider Business Practice Location Address
First Line	:	8200 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2003
Country	:	US
Telephone Number	:	561-964-1111
Fax Number	:	561-967-3144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2006
Last Update Date	:	12/01/2010

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