Organization
IVAN D CAMACHO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN D CAMACHO M.D. (PRESIDENT)
(305) 987-9375
Entity
Organization
Contact information
Practice address
79 SW 12 ST #3907, MIAMI, FL 33130-5215
(786) 475-7555
(786) 475-7556
Mailing address
79 SW 12 ST #3907, MIAMI, FL 33130-5215
(786) 475-7555
(786) 475-7556
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME109790
FL
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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