Individual
MS. CECILIA G CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
2814 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 262-1330
(813) 262-1335
Mailing address
2814 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 262-1330
(813) 262-1335
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1419
FL
231H00000X
Audiologist
AZ498 (PROVISIONAL)
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600564100
—
FL
Enumeration date
07/07/2006
Last updated
09/28/2016
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