Individual
ANDY MICHAEL CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1381 S PATRICK DR OFC RM2017, PATRICK AFB, FL 32925-3606
(321) 494-8159
Mailing address
1381 S PATRICK DR OFC RM2017, PATRICK AFB, FL 32925-3606
(321) 494-8159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA91085200
FL
363AM0700X
Medical Physician Assistant
PA9108520
FL
Other
Enumeration date
01/27/2015
Last updated
02/15/2022
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