| Doctor Name: | DR. JUAN CARLOS CAMPORA |
| NPI Number: | 1245279066 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | ME41183 |
| Business Practice Address: | 9568 Nw 41st St Doral, FL - 331782912 |
| Business Phone Number: | 3054282055 |
| Business Fax Number: | 3055940111 |
| Mailing Address: | 1865 79th Street Cswy Apt 3c, NORTH BAY VILLAGE |
| State: | FL |
| Postal Code: | 331414209 |
| Phone Number: | 3053324863 |
| Fax Number: | 7867682607 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME41183 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |