Individual
ALLYSON MARIE CAMPUZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15955 SW 96TH ST STE 401, MIAMI, FL 33196-1273
(786) 467-3430
(786) 533-9695
Mailing address
PO BOX 100905, ATLANTA, GA 30384-1273
(786) 594-6880
(786) 533-9261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112923
FL
Other
Enumeration date
01/29/2020
Last updated
02/28/2020
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