Campbell, Matthew

Campbell, Matthew is an individual health care provider with primary practice located at 1350 Hickory St Ste 102 , Melbourne FL 32901-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Campbell, Matthew can be contacted via phone (321) 434-3455.

Contact Information

Primary practice address
1350 Hickory St Ste 102 Melbourne FL 32901-3224
Phone: (321) 434-3455
Fax: (321) 434-3456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME98326 Florida

Profile Details

NPI number 1811019722
LBN Legal business name Campbell, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Nov 13th, 2023 - about last year

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 1811019722 NPPES
Florida Other 134223953 HUMANA
Florida MEDICAID 278269300 HUMANA
Florida Other 7200877 HUMANA
Florida Other 90380 HUMANA
Florida Other 8017116 HUMANA

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