Campbell, Andrew Bruce
Campbell, Andrew Bruce is an individual health care provider with primary practice located at 1610 Ne 1St St Apt 10 , Fort Lauderdale FL 33301-3800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Campbell, Andrew Bruce can be contacted via phone (954) 760-4306.Contact Information
Primary practice address
1610 Ne 1St St Apt 10
Fort Lauderdale FL 33301-3800
Phone: (954) 760-4306
Fax: (954) 760-4306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME97339 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 153691-01 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA08178100 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD044591L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME97339 | Florida |
Profile Details
| NPI number | 1225052285 |
|---|---|
| LBN Legal business name | Campbell, Andrew Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 15th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225052285 | NPPES |
| Florida | MEDICAID | 002112500 | |
| Florida | MEDICAID | 8516804 | |
| Florida | MEDICAID | 200251600A | |
| Florida | MEDICAID | 00476269 | |
| Florida | MEDICAID | 1225052285 | |
| Florida | MEDICAID | 2198547 | |
| Florida | MEDICAID | 4047842 | |
| Florida | MEDICAID | 1225052285 | |
| Florida | MEDICAID | 7100084150 | |
| Florida | MEDICAID | 99073889 | |
| Florida | MEDICAID | 307496 | |
| Florida | MEDICAID | 0018425910010 | |
| Florida | MEDICAID | 205764802 |
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