Individual
JONATHAN CAMINO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18425 PINES BLVD, PEMBROKE PINES, FL 33029-1415
(954) 430-9300
(954) 450-2833
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 430-9300
(954) 450-2833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME127160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017363700
—
FL
Enumeration date
06/26/2013
Last updated
01/06/2021
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