Individual provider · NPI-1

Sydney Campbell

Anesthesiologist Assistant · Tallahassee, FL

NPI number1760858427
StatusActive
Last updated in NPPESJun 11, 2020

Details

NPI
1760858427
Entity type
Individual (NPI-1)
Name
Sydney Campbell
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 18, 2015
Certification date
Jun 11, 2020
Last updated
Jun 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist AssistantAA276FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2173 Centerville Pl Ste A
Tallahassee, FL 32308-8303

Phone 904-716-5871

Mailing address

2173 Centerville Pl Ste A
Tallahassee, FL 32308-8303

Phone 904-716-5871

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