# PROFESSIONAL MEDICAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184893034
- **Authorized official:** LUIS CAMPILLO M.D. (PRESIDENT)
- **Authorized official phone:** (786) 955-6598

## Contact information

- **Practice address:** 5190 NW 167TH ST STE 104, MIAMI LAKES, FL 33014-6337
- **Practice address phone:** (786) 955-6598
- **Practice address fax:** (786) 955-6857
- **Mailing address:** 5190 NW 167TH ST STE 104, MIAMI LAKES, FL 33014-6337
- **Mailing address phone:** (786) 955-6598
- **Mailing address fax:** (786) 955-6857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME64856 | FL | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 03/18/2014