Individual
JOHNNY CAMILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 BATES AVE SW, WINTER HAVEN, FL 33880-2448
(863) 877-6041
Mailing address
2450 BATES AVE SW, WINTER HAVEN, FL 33880-2448
(863) 877-6041
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
238688
FL
374U00000X
Home Health Aide
238688
FL
Other
Enumeration date
07/05/2023
Last updated
08/11/2023
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