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Individual

MICHAEL CAMPANELLI

Active
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Individual

MICHAEL CAMPANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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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