Individual
VICTORIA JEAN CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM, PA
Contact information
Practice address
1093 A1A BEACH BLVD, PMB 235, ST AUGUSTINE, FL 32080-6733
(904) 814-4904
Mailing address
150 SOUTHPARK BLVD, STE 202, ST AUGUSTINE, FL 32086
(904) 810-0391
(904) 810-0392
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404633
—
FL
Enumeration date
07/12/2006
Last updated
07/08/2007
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