Individual
SUSAN CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11707 SW 17TH ST STE 170, PEMBROKE PINES, FL 33025-1731
(954) 371-8431
Mailing address
11707 SW 17TH ST STE 170, PEMBROKE PINES, FL 33025-1731
(954) 371-8431
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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