MR. PATRICK GENE CAMPBELL PA-C NPI 1023094414

NPI Information

NPI: 1023094414
Provider Name: MR. PATRICK GENE CAMPBELL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1494 AVOCADO AVE
MELBOURNE, FL
ZIP 32935
Phone: (321) 610-7950
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MR. Patrick Gene Campbell, PA-C is a medical physician assistant in Melbourne, FL. MR. Patrick Gene Campbell, PA-C NPI is 1023094414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1494 AVOCADO AVE
MELBOURNE, FL
ZIP 32935-532
Phone: (321) 610-7950

The NPI 1023094414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 2/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA3149	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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