Female

Tina M. Campanile PAC

Physician Assistant in Melbourne, FL(View on Map)

Full Name

Tina M Campanile PAC

NPI Number

1699841932

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/28/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA1906

Contact
Information

Purpose

Mailing
Location

Address

2080 W EAU GALLIE BLVD
2080 W EAU GALLIE BLVD

City

Melbourne
Melbourne

State

FL
FL

Postal Code

32935-3185
32935-3185

Country

US
US

Telephone Number

(321) 254-6218
(321) 254-6218

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

Data last updated by provider on 11/28/2011

Provider Address

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