Campos, Jaime Enrique

Campos, Jaime Enrique is an individual health care provider with primary practice located at 7100 West 20Th Avenue Suite 303, Hialeah FL 33016. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Campos, Jaime Enrique can be contacted via phone (305) 556-1544.

Contact Information

Primary practice address
7100 West 20Th Avenue Suite 303 Hialeah FL 33016
Fax: (305) 556-2025
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME27911 Florida

Profile Details

NPI number 1225007883
LBN Legal business name Campos, Jaime Enrique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jun 30th, 2021 - about 3 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 1225007883 NPPES
Florida MEDICAID 039126300

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