Individual
EVAN KAMPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Mailing address
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02313
RI
207R00000X
Internal Medicine Physician
Primary
ME119744
FL
Other
Enumeration date
06/23/2011
Last updated
02/25/2015
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