Individual
MR. MANUEL A CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 GRAND AVE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134
Mailing address
215 GRAND AVE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME72242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02576910
MEDICAID
NY
05
—
255571900
—
FL
01
—
46220
BCBS
FL
Enumeration date
05/15/2006
Last updated
01/27/2011
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