Individual
DR. WILLIAM RENGIFO CAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 LIVE OAK ST STE B, NEW SMYRNA BEACH, FL 32168-7300
(386) 424-5248
(386) 424-5209
Mailing address
501 LIVE OAK ST STE B, NEW SMYRNA BEACH, FL 32168-7300
(386) 424-5248
(386) 424-5209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME124828
FL
207RG0100X
Gastroenterology Physician
Primary
ME124828
FL
Other
Enumeration date
07/17/2009
Last updated
06/03/2020
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