Individual
INDRA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9050 PINES BLVD STE 415-409, PEMBROKE PINES, FL 33024-6455
(954) 272-6103
(954) 637-1888
Mailing address
9050 PINES BLVD STE 415-409, PEMBROKE PINES, FL 33024-6455
(954) 272-6103
(954) 637-1888
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101133500
—
FL
Enumeration date
08/15/2018
Last updated
05/23/2019
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