Campillo-Juig, Eric R
Campillo-Juig, Eric R is an sole proprietor health care provider with primary practice located at 6583 Sw 39Th Ter , Miami FL 33155-4821. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Campillo-Juig, Eric R can be contacted via phone (786) 615-3187.Contact Information
Primary practice address
6583 Sw 39Th Ter
Miami FL 33155-4821
Phone: (786) 615-3187
Fax: (786) 756-1010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP 9292654 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN9292654 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ARNP 9292654 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMHC9123 | Florida |
Profile Details
| NPI number | 1205039005 |
|---|---|
| LBN Legal business name | Campillo-Juig, Eric R |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Nov 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205039005 | NPPES |
| Florida | MEDICAID | 022-677-800 | |
| Florida | MEDICAID | 020-979-000 |
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