Provider Demographics
NPI:1194725945
Name:CAVA, ROBERT CHARLES (MD,)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHARLES
Last Name:CAVA
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 1:4950 S LE JEUNE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2231
Mailing Address - Country:US
Mailing Address - Phone:305-669-0690
Mailing Address - Fax:305-669-8856
Practice Address - Street 1:4950 S LE JEUNE RD
Practice Address - Street 2:SUITE H
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2231
Practice Address - Country:US
Practice Address - Phone:305-669-0690
Practice Address - Fax:305-669-8856
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME40002207RC0200X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Not Answered207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067131200Medicaid
FL96048Medicare ID - Type Unspecified