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Individual

DR. CECILIO DOUGLAS CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9853 SW 40TH ST, MIAMI, FL 33165-3993
(305) 223-4685
Mailing address
8041 SW 119TH CT, MIAMI, FL 33183-4864
(786) 535-9222

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1006
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023885300
FL
Enumeration date
02/08/2017
Last updated
04/21/2022
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