Individual
MRS. RAISA D CAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4958 SUN N LAKE BLVD, SEBRING, FL 33872-2167
(863) 385-4711
(863) 386-4301
Mailing address
4958 SUN N LAKE BLVD, SEBRING, FL 33872-2167
(863) 385-4711
(863) 386-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0061030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373302500
—
FL
Enumeration date
10/21/2005
Last updated
11/09/2009
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