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Contact Information

PAUL J CHAMPINO, APRN
1600 LAKELAND HILLS BLVD
LAKELAND, FL33805-3019
 Phone: 863-680-7190
 Fax: 866-264-8519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PAUL J CHAMPINO · (Male)

NPI Number 1528728524
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 12/19/2021
Last updated 01/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 11016653
  • FL License # APRN11016653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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