Individual
EDRIC JASON R. CAAMPUED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1859 VAN BUREN ST, HOLLYWOOD, FL 33020-5127
(954) 930-9000
Mailing address
15320 SW 49TH ST, MIRAMAR, FL 33027
(954) 397-2410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9115931
FL
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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