Active NPI
Lawrence J Campo, M.D.
- Internal Medicine Physician
- Clermont, FL
National Provider Identifier
1801884978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME58401
- Practice address
- 3135 Citrus Tower Blvd
Clermont, FL 34711-6823 - Phone
- (352) 988-6200
- Fax
- (844) 388-6186
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME58401 | FL | Primary |
Addresses
Primary practice location
3135 Citrus Tower Blvd
Clermont, FL 34711-6823
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263733200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1801884978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "727-322-3439",
"fax_number": "800-928-7449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 CITRUS TOWER BLVD",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116823",
"telephone_number": "352-988-6200",
"fax_number": "844-388-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "LAWRENCE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME58401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263733200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.