Individual
EDGAR HERNANDO CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12900 SW 100TH AVE, MIAMI, FL 33176-5603
(786) 269-5986
(305) 971-1505
Mailing address
12900 SW 100TH AVE, MIAMI, FL 33176-5603
(786) 269-5986
(305) 971-1505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002404 PT
FL
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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