Male or Other

Edric Jason R. Caampued PA

Medical Physician Assistant in Hollywood, FL(View on Map)

Full Name

Edric Jason R. Caampued PA

NPI Number

1083321624

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/02/2022

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9115931

Contact
Information

Purpose

Mailing
Location

Address

15320 SW 49TH ST
1859 VAN BUREN ST

City

Miramar
Hollywood

State

FL
FL

Postal Code

33027
33020-5127

Country

US
US

Telephone Number

(954) 397-2410
(954) 930-9000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/02/2022

Provider Address

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