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Individual

JOHN DAVID CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 BAILEY LN STE 200, NAPLES, FL 34105-8523
(239) 262-8971
(239) 262-2537
Mailing address
5816 BROMELIA CT, NAPLES, FL 34119-4796
(239) 592-4635

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0061741
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14747
BCBS
FL
05
58814800
FL
01
BC0191534
DEA
FL
Enumeration date
05/15/2006
Last updated
04/11/2024
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