Individual
MATTHEW CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST STE 102, MELBOURNE, FL 32901-3224
(321) 434-3455
(321) 434-3456
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-3455
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME98326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134223953
HUMANA
FL
05
—
278269300
—
FL
01
—
7200877
AETNA
FL
01
—
8017116
CIGNA
FL
01
—
90380
BCBS
FL
Enumeration date
04/04/2007
Last updated
11/13/2023
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