Provider Demographics
NPI:1568654655
Name:RAPPEL, ROBERT (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:RAPPEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1515 INDIAN RIVER BLVD
Mailing Address - Street 2:SUITE A-210
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5627
Mailing Address - Country:US
Mailing Address - Phone:772-778-8885
Mailing Address - Fax:772-778-8883
Practice Address - Street 1:1515 INDIAN RIVER BLVD
Practice Address - Street 2:SUITE A-210
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5627
Practice Address - Country:US
Practice Address - Phone:772-778-8885
Practice Address - Fax:772-778-8883
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS1712208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
81625Medicare UPIN