Campos, Marina
Campos, Marina is an sole proprietor health care provider with primary practice located at 2264 Dellwood Ave , Jacksonville FL 32204-3102. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Campos, Marina can be contacted via phone (904) 384-3888.Contact Information
Primary practice address
2264 Dellwood Ave
Jacksonville FL 32204-3102
Phone: (904) 384-3888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | 6905793 | Florida |
Profile Details
| NPI number | 1669631214 |
|---|---|
| LBN Legal business name | Campos, Marina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2008 |
| Last updated | Jun 7th, 2008 - about 16 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 | 1669631214 | NPPES |
| Florida | MEDICAID | 142300200 |
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