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Organization
SOUTH FLORIDA EYE INSTITUTE, INC.
Active
Organization
SOUTH FLORIDA EYE INSTITUTE, INC.
Active
Other names
Jorge Camacho MD Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRTHA AMELIA CAMACHO RN (ADMINISTRATOR)
(954) 529-1075
Entity
Organization
Contact information
Practice address
6233 N UNIVERSITY DR, TAMARAC, FL 33321-4022
(954) 721-0000
(954) 721-6308
Mailing address
6233 N UNIVERSITY DR, TAMARAC, FL 33321-4022
(954) 721-0000
(954) 721-6308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002YB
BCBSF
FL
05
—
017975500
—
FL
05
—
017975502
—
FL
01
—
6104868
UHC
FL
01
—
9904886
AETNA PIN
FL
Enumeration date
07/03/2006
Last updated
06/19/2020
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