Provider Demographics
NPI:1407138142
Name:CAMPIANI, JOSEFINA (LAC)
Entity Type:Individual
Prefix:MRS
First Name:JOSEFINA
Middle Name:
Last Name:CAMPIANI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 CRANDON BLVD STE 300B
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1542
Mailing Address - Country:US
Mailing Address - Phone:305-607-7945
Mailing Address - Fax:
Practice Address - Street 1:104 CRANDON BLVD STE 300B
Practice Address - Street 2:
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1542
Practice Address - Country:US
Practice Address - Phone:305-607-7945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2919171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist