Abendan, Manuel Camposano

Abendan, Manuel Camposano is an sole proprietor health care provider with primary practice located at 14 W Jordan St , Pensacola FL 32501-1736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abendan, Manuel Camposano can be contacted via phone (850) 436-4630.

Contact Information

Primary practice address
14 W Jordan St Pensacola FL 32501-1736
Fax: (850) 436-2095
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME30906 Florida

Profile Details

NPI number 1659387579
LBN Legal business name Abendan, Manuel Camposano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Mar 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659387579 NPPES
Florida Other 57078 BCBS OF FL
Florida MEDICAID 037514400 BCBS OF FL

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