Provider Demographics
NPI:1437427655
Name:OCAMPO, ANDRES (ARNP-BC)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:OCAMPO
Suffix:
Gender:M
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 W FLAGLER ST
Mailing Address - Street 2:STE. 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-6000
Mailing Address - Country:US
Mailing Address - Phone:305-553-0270
Mailing Address - Fax:
Practice Address - Street 1:1224 NW 29TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-6618
Practice Address - Country:US
Practice Address - Phone:786-953-6165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9244105208D00000X
FLAPRN9244105363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice