Douglass, William Campbell

Douglass, William Campbell is an individual health care provider with primary practice located at 400 Clyde Morris Blvd Ste A , Ormond Beach FL 32174-8172. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Douglass, William Campbell can be contacted via phone (386) 231-4430.

Contact Information

Primary practice address
400 Clyde Morris Blvd Ste A Ormond Beach FL 32174-8172
Phone: (386) 231-4430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME56428 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME56428 Florida

Profile Details

NPI number 1396713087
LBN Legal business name Douglass, William Campbell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 7th, 2020 - about 6 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 1396713087 NPPES
Florida Other 11314 BCBS
Florida MEDICAID 063935400 BCBS

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