Individual
CARLOS DAVID CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
9821 S GRAND DUKE CIR, TAMARAC, FL 33321-6330
(954) 662-8430
Mailing address
9821 S GRAND DUKE CIR, TAMARAC, FL 33321-6330
(954) 662-8430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20347
FL
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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