Individual
CHARLES CAMISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7331 GLADIOLUS DRIVE, FT. MYERS, FL 33908
(239) 437-8810
(239) 437-8875
Mailing address
15051 S. TAMIAMI TRAIL, SUITE 203, FORT MYERS, FL 33908
(239) 437-8810
(239) 313-2555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0077443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263672700
—
FL
Enumeration date
05/17/2006
Last updated
12/14/2020
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