Provider Demographics
NPI:1982759072
Name:CAMPOS, BELKYS ELIZABETH (OCCUPATIONALTHERAPIS)
Entity Type:Individual
Prefix:MRS
First Name:BELKYS
Middle Name:ELIZABETH
Last Name:CAMPOS
Suffix:
Gender:F
Credentials:OCCUPATIONALTHERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12741 SOUTH WEST 17 COURT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027
Mailing Address - Country:US
Mailing Address - Phone:786-663-0707
Mailing Address - Fax:954-447-8844
Practice Address - Street 1:12741 SOUTH WEST 17 COURT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027
Practice Address - Country:US
Practice Address - Phone:786-663-0707
Practice Address - Fax:954-447-8844
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10466225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL889223700Medicaid