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Individual

DR. ROBERT NICHOLAS CAPOBIANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1330 BUDINGER AVE STE 206, SAINT CLOUD, FL 34769-4137
(407) 498-3763
(407) 498-3793
Mailing address
1330 BUDINGER AVE STE 108, SAINT CLOUD, FL 34769-4137
(407) 498-3763
(407) 498-3793

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
78444
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260307100
FL
01
46776
BCBS
FL
01
78444
MEDICAL LICENSE
FL
01
P00470972
RAILROAD MEDICARE
FL
Enumeration date
12/13/2005
Last updated
03/07/2023
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