Individual
NATALIA CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1223 GATEWAY DR STE 1D, MELBOURNE, FL 32901
(321) 729-6166
(321) 952-9406
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 729-6166
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
102865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000228500
—
FL
01
—
AV359U
MEDICARE
FL
Enumeration date
02/27/2007
Last updated
06/25/2018
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