Sylvia D. Campbell, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME32624 Issued in FL

Legal business name

SYLVIA D. CAMPBELL, M.D., P.A.

Practice address

217 South Matanzas Avenue
Tampa, FL 33609-3010

Phone

(813) 875-2655

Fax

(813) 872-1838

NPI assigned

Oct 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karin Lynn Raymond

Title

Office Administrator

Phone

(813) 875-2655

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1811206964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOUTH MATANZAS AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093010",
            "telephone_number": "813-875-2655",
            "fax_number": "813-872-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH MATANZAS AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093010",
            "telephone_number": "813-875-2655",
            "fax_number": "813-872-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIA D. CAMPBELL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "813-875-2655"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME32624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30483",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067048100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.