Doctor Name: | JOSEPH E CAMPBELL |
NPI Number: | 1033275854 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA 9104671 |
Business Practice Address: | 6550 N Federal Hwy Suite 512 Ft Lauderdale, FL - 333081404 |
Business Phone Number: | 9542678777 |
Business Fax Number: | 9547727801 |
Mailing Address: | 6550 N Federal Hwy, Suite 512 FT LAUDERDALE |
State: | FL |
Postal Code: | 333081404 |
Phone Number: | 9542678777 |
Fax Number: | 9547727801 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 10/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA 9104671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |