Provider Demographics
NPI:1588774095
Name:CAMPBELL, JAMES DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOUGLAS
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2823 STATE ROAD 13
Mailing Address - Street 2:
Mailing Address - City:SWITZERLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32259-9297
Mailing Address - Country:US
Mailing Address - Phone:904-230-8877
Mailing Address - Fax:904-230-8877
Practice Address - Street 1:8774 PERIMETER PARK BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6347
Practice Address - Country:US
Practice Address - Phone:904-642-6100
Practice Address - Fax:904-642-5154
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME78741208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics