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Organization
MARIO CARCAMO PA
Active
Organization
MARIO CARCAMO PA
Active
Other names
MARIO CARCAMO O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO IVAN CARCAMO O.D. (MANAGER OWNER)
(305) 662-2990
Entity
Organization
Contact information
Practice address
7795 W FLAGLER ST, #63, MIAMI, FL 33144-2368
(305) 662-2990
(305) 380-7106
Mailing address
7795 W FLAGLER ST, #63, MIAMI, FL 33144-2359
(305) 662-2990
(305) 380-7106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078938100
—
FL
Enumeration date
07/31/2009
Last updated
09/17/2013
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