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Individual

CAMILLE HAZLEWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
905 HISTORIC GOLDSBORO BLVD, SANFORD, FL 32771-2415
(407) 337-6992
Mailing address
4407 DREXEL AVE, ORLANDO, FL 32808-1901
(321) 356-7814

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1009892
FL
363LF0000X
Family Nurse Practitioner
1220312
TX
363LF0000X
Family Nurse Practitioner
4051200
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN11009829
FL

Other

Enumeration date
03/17/2021
Last updated
07/28/2026
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