Campbell, Richard

Campbell, Richard is an individual health care provider with primary practice located at 1900 Don Wickham Dr , Clermont FL 34711-1979. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Campbell, Richard can be contacted via phone (352) 536-8840.

Contact Information

Primary practice address
1900 Don Wickham Dr Clermont FL 34711-1979
Phone: (352) 536-8840
Fax: (352) 536-8841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01215200 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11038994 Florida

Profile Details

NPI number 1114681970
LBN Legal business name Campbell, Richard
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2021
Last updated Jul 28th, 2025 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114681970 NPPES
Florida MEDICAID 127175700

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