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
Phone: (850) 741-2814
Fax: (850) 741-2948
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1730142647 | NPPES |
| Florida | MEDICAID | 253484300 | |
| Florida | MEDICAID | 009907575 | |
| Florida | Other | 200043453 | |
| Florida | Other | 590-54047 | |
| Florida | Other | 42560 |
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