Organization
MARIO CARCAMO PA
Active
Other names
MARIO CARCAMO O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO IVAN CARCAMO O.D. (MANAGER OWNER)
(305) 662-2990
Entity
Organization
Contact information
Practice address
7795 W FLAGLER ST, #63, MIAMI, FL 33144-2368
(305) 662-2990
(305) 380-7106
Mailing address
7795 W FLAGLER ST, #63, MIAMI, FL 33144-2359
(305) 662-2990
(305) 380-7106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078938100
—
FL
Enumeration date
07/31/2009
Last updated
09/17/2013
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