Individual
CAMILLE HUCKABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6600 MADISON ST, NEW PORT RICHEY, FL 34652-1971
(727) 842-8468
Mailing address
201 4TH ST S UNIT 817, SAINT PETERSBURG, FL 33701-4582
(760) 560-7692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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