Individual
MICHAEL A. CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
(305) 243-6992
Mailing address
1500 NW 12TH AVE, JMT EAST 1007, MIAMI, FL 33136-1028
(305) 243-4664
(305) 243-6992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME76058
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME76058
FL
207RP1001X
Pulmonary Disease Physician
ME76058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267493900
PSN
FL
05
—
267493900
—
FL
01
—
46297
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/31/2006
Last updated
02/20/2014
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