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Individual

DR. CAMERON DAVID ADKISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14540 OLD SAINT AUGUSTINE RD, 2571, JACKSONVILLE, FL 32258-7418
(904) 886-2251
(904) 886-7151
Mailing address
11945 SAN JOSE BLVD, #300, JACKSONVILLE, FL 32223-1613
(904) 396-1725
(904) 399-1717

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57500
MN
208600000X
Surgery Physician
MD447547
WI
208600000X
Surgery Physician
Primary
ME105034
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I506J
BCBS-FL
FL
Enumeration date
11/12/2008
Last updated
08/12/2015
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