Individual
DANIEL LAZARO CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1304 LISBON ST, CORAL GABLES, FL 33134-2224
(786) 380-5135
Mailing address
1304 LISBON ST, CORAL GABLES, FL 33134-2224
(786) 380-5135
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9203764
FL
364SG0600X
Gerontology Clinical Nurse Specialist
ARNP9203764
FL
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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