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Individual

JULIET MARIE DE CAMPOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4900 BAYOU BLVD STE 107, PENSACOLA, FL 32503-2543
(850) 741-2814
(850) 741-2948
Mailing address
PO BOX 30010, PENSACOLA, FL 32503-1010
(850) 479-3320
(850) 479-8789

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207X00000X
Orthopaedic Surgery Physician
Primary
ME69848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009907575
AL
01
200043453
MEDICARE RAILROAD
05
253484300
FL
01
42560
BLUE CROSS BLUE SHIELD
FL
01
590-54047
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/11/2006
Last updated
03/16/2022
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