Individual
DR. MARIO IVAN CARCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13852 SW 88TH ST, MIAMI, FL 33186-1304
(305) 385-6885
(305) 380-7106
Mailing address
13852 SW 88TH ST, MIAMI, FL 33186-1304
(305) 385-6885
(888) 371-2283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC002340
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC002340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101895300
—
FL
05
—
78938100
—
FL
Enumeration date
10/19/2006
Last updated
08/10/2023
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