Individual
ROBERT CAMPBELL
Active
Individual
ROBERT CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9119340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126270500
—
FL
Enumeration date
08/23/2024
Last updated
04/02/2025
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