Provider Demographics
NPI:1427036995
Name:CAMPBELL, ERROL EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERROL
Middle Name:EARL
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7421 N UNIVERSITY DR.
Mailing Address - Street 2:SUITE 314
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-724-3440
Mailing Address - Fax:954-724-3494
Practice Address - Street 1:7421 N UNIVERSITY DR
Practice Address - Street 2:SUITE 314
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2977
Practice Address - Country:US
Practice Address - Phone:954-724-3440
Practice Address - Fax:954-724-3494
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80593207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000758100Medicaid
FLP00712042OtherRAILROAD MEDICARE
FLP00712042OtherRAILROAD MEDICARE
FL000758100Medicaid
FLH41181Medicare UPIN