Provider Demographics
NPI:1609139559
Name:CAMPBELL, HANG HUYNH (DPM)
Entity type:Individual
Prefix:DR
First Name:HANG
Middle Name:HUYNH
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 E ALTAMONTE DR STE 205
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4810
Mailing Address - Country:US
Mailing Address - Phone:407-813-2413
Mailing Address - Fax:407-792-1019
Practice Address - Street 1:616 E ALTAMONTE DR STE 205
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4810
Practice Address - Country:US
Practice Address - Phone:407-813-2413
Practice Address - Fax:407-792-1019
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4541213EP1101X
CT00931213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty