De Campos, Juliet Marie

De Campos, Juliet Marie is an individual health care provider with primary practice located at 4900 Bayou Blvd Ste 107 , Pensacola FL 32503-2543. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. De Campos, Juliet Marie can be contacted via phone (850) 741-2814.

Contact Information

Primary practice address
4900 Bayou Blvd Ste 107 Pensacola FL 32503-2543
Fax: (850) 741-2948
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME69848 Florida
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1730142647
LBN Legal business name De Campos, Juliet Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Mar 16th, 2022 - 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 1730142647 NPPES
Florida MEDICAID 253484300
Florida MEDICAID 009907575
Florida Other 200043453
Florida Other 590-54047
Florida Other 42560

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