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NPI Code Detail

MEDICARE: DR. ALICIA CAMPBELL MD

MEDICARE: DR. ALICIA CAMPBELL MD
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
1207R00000XInternal Medicine PhysicianME0063268FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477572204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICIA CAMPBELL MD
Provider Business Mailing Address
First Line : 532 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-4914
Country : US
Telephone Number : 904-791-0182
Fax Number :
Provider Business Practice Location Address
First Line : 532 RIVERSIDE AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32202-4914
Country : US
Telephone Number : 904-791-0182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 02/24/2020

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Directions to “ DR. ALICIA CAMPBELL MD” Practice Location

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