Organization
PROFESSIONAL MEDICAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS CAMPILLO M.D. (PRESIDENT)
(786) 955-6598
Entity
Organization
Contact information
Practice address
5190 NW 167TH ST STE 104, MIAMI LAKES, FL 33014-6337
(786) 955-6598
(786) 955-6857
Mailing address
5190 NW 167TH ST STE 104, MIAMI LAKES, FL 33014-6337
(786) 955-6598
(786) 955-6857
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME64856
FL
Other
Enumeration date
02/25/2008
Last updated
03/18/2014
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