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Individual
MR. LUIS CAMACHO
Active
Individual
MR. LUIS CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA9103060
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9103060
FL
Other
Enumeration date
01/16/2007
Last updated
03/16/2021
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