Individual
ALEXANDRA FELIZ CAMILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18700 VETERANS BLVD UNIT 9, PORT CHARLOTTE, FL 33954-1037
(941) 263-1776
Mailing address
2460 OLD MOULTRIE RD STE 1, ST AUGUSTINE, FL 32086-4198
(941) 456-9905
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1272
FL
208D00000X
General Practice Physician
Primary
ACN1272
FL
390200000X
Student in an Organized Health Care Education/Training Program
15075-I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021739
PUERTO RICO MEDICAL DISCIPLINE AND LICENSURE BOARD
PR
01
—
1272
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
05/22/2019
Last updated
02/23/2026
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