Individual
CHRIS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1665 KINGSLEY AVE, SUITE 105, ORANGE PARK, FL 32073-4490
(904) 215-7015
Mailing address
PO BOX 850001, DEPT 121, ORLANDO, FL 32885-0121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME49692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300431700
—
FL
Enumeration date
08/12/2005
Last updated
06/01/2016
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