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Individual

JAMES BALDWIN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
20600 VETERANS BLVD, PORT CHARLOTTE, FL 33954-2209
(239) 466-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002496
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20326
BCBS
FL
01
20326W
PTAN
FL
01
20326X
PTAN
FL
05
620233100
FL
Enumeration date
10/11/2005
Last updated
07/17/2025
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