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Individual

DR. CAMILLA RUTH CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
1707 E BEARSS AVE, TAMPA, FL 33613-2450
(813) 550-0000
(813) 800-9555
Mailing address
1707 E BEARSS AVE, TAMPA, FL 33613-2450
(813) 550-0000
(855) 426-3330

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11003378
FL

Other

Enumeration date
07/29/2019
Last updated
07/31/2024
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