# LARISSA CAMEJO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447286190
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD429218 | PA | — |
| 207W00000X | Ophthalmology Physician | ME106908 | FL | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 06/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004619200 | — | FL |
| 01 | — | 14J82 | BC/BS | FL |