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Individual

MS. KELLIE CAMACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3275 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-7251
(305) 461-2000
(786) 228-4035
Mailing address
11924 FOREST HILL BLVD STE 10A-411, WELLINGTON, FL 33414-6256
(305) 403-1181
(305) 403-1230

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107864
FL
363AS0400X
Surgical Physician Assistant
PA9107864
FL

Other

Enumeration date
05/19/2014
Last updated
03/12/2020
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