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Individual

FREDERICK A. CAMPOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
148 N PALMETTO AVE, FLAGLER BEACH, FL 32136-3303
(386) 693-4750
Mailing address
148 N PALMETTO AVE, FLAGLER BEACH, FL 32136-3303
(386) 693-4750

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME 92735
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272625400
FL
Enumeration date
02/11/2006
Last updated
10/08/2014
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