Organization
SOUTH FLORIDA EYE INSTITUTE, INC.
Active
Other names
Jorge Camacho MD Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRTHA AMELIA CAMACHO RN (ADMINISTRATOR)
(954) 529-1075
Entity
Organization
Contact information
Practice address
6233 N UNIVERSITY DR, TAMARAC, FL 33321-4022
(954) 721-0000
(954) 721-6308
Mailing address
6233 N UNIVERSITY DR, TAMARAC, FL 33321-4022
(954) 721-0000
(954) 721-6308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002YB
BCBSF
FL
05
—
017975500
—
FL
05
—
017975502
—
FL
01
—
6104868
UHC
FL
01
—
9904886
AETNA PIN
FL
Enumeration date
07/03/2006
Last updated
06/19/2020
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