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Organization
CAMPILLO MEDICAL CORP
Active
Organization
CAMPILLO MEDICAL CORP
Active
Other names
CAMPILLO MEDICAL CORP
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CAMPILLO-JUIG APRN, LHHC (CLINICAL DIRECTOR)
(305) 300-5551
Entity
Organization
Contact information
Practice address
6583 SW 39TH TER, MIAMI, FL 33155-4821
(786) 615-3187
(786) 756-1010
Mailing address
6583 SW 39TH TER, MIAMI, FL 33155-4821
(786) 615-3187
(786) 756-1010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/29/2017
Last updated
01/08/2021
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