Organization
EDWARD B KAMPSEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA RUBLE (OFFICE ADMIN)
(813) 877-2685
Entity
Organization
Contact information
Practice address
2835 W DE LEON ST, #202, TAMPA, FL 33609-4130
(813) 877-2685
(813) 876-5872
Mailing address
2835 W. DE LEON ST., #202, TAMPA, FL 33609
(813) 877-2685
(813) 876-5872
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30250
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/25/2007
Last updated
10/25/2022
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