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Individual

MR. PATRICK GENE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1494 AVOCADO AVE, MELBOURNE, FL 32935-6532
(321) 610-7950
Mailing address
1494 AVOCADO AVE, MELBOURNE, FL 32935-6532
(321) 610-7950

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3149
FL

Other

Enumeration date
12/19/2005
Last updated
02/12/2013
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