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Individual

ENRICO MARIO CAMPORESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 COLUMBIA DR, SUITE: A-327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME88421
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03548
BCBS
FL
01
P00276626
MEDICARE RAILROAD
FL
01
U4750Y
GTBA MEDICARE REASSIGN
FL
Enumeration date
05/18/2006
Last updated
03/04/2008
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