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NPI Code Detail

MEDICARE: MR. RICARDO CAMPBELL FNP

MEDICARE:  MR. RICARDO  CAMPBELL  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner9319931FL
2363LF0000XFamily Nurse Practitioner352136NY

General Provider Information

NPI Number : 1326590159
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICARDO CAMPBELL FNP
Provider Business Mailing Address
First Line : 4780 SW 64TH AVE STE 103
Second Line :
City : DAVIE
State : FL
Zip : 33314-4400
Country : US
Telephone Number : 954-424-4321
Fax Number : 954-424-0765
Provider Business Practice Location Address
First Line : 4780 DAVIE RD STE 101
Second Line :
City : DAVIE
State : FL
Zip : 33314-4400
Country : US
Telephone Number : 954-434-1705
Fax Number : 954-434-1882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 06/02/2026

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Directions to “ MR. RICARDO CAMPBELL FNP” Practice Location

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