Individual
THALMON RUELA CAMPAGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 PRIMERA BLVD, LAKE MARY, FL 32746-2175
(407) 333-1570
(407) 333-1381
Mailing address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 367-6346
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME169828
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME169828
FL
Other
Enumeration date
03/30/2015
Last updated
08/21/2024
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