Individual
MICHAEL CAMPANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1325 LAKELAND HILLS BLVD, LAKELAND REGIONAL NEUROSURGICAL ASSOCIATES, LAKELAND, FL 33805-4544
(863) 603-6542
(863) 603-6529
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS8177
FL
207T00000X
Neurological Surgery Physician
Primary
OS8177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497748743
GROUP NPI NUMBER / LRHSI
—
05
—
260171100
—
FL
01
—
35547
BCBS OF FLORIDA
FL
01
—
DA5786
RAILROAD MEDICARE GROUP NUMBER /LRHSI
FL
Enumeration date
05/22/2006
Last updated
02/22/2021
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