Adkisson, Cameron David

Adkisson, Cameron David is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd 2571, Jacksonville FL 32258-7418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Adkisson, Cameron David can be contacted via phone (904) 886-2251.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd 2571 Jacksonville FL 32258-7418
Phone: (904) 886-2251
Fax: (904) 886-7151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD447547 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 57500 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X ME105034 Florida

Profile Details

NPI number 1205080652
LBN Legal business name Adkisson, Cameron David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Aug 12th, 2015 - about 10 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 1205080652 NPPES
Florida Other I506J BCBS-FL

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