Individual
LARISSA CAMEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11211 PROSPERITY FARMS RD STE D127, PALM BEACH GARDENS, FL 33410-3449
(561) 223-6557
(561) 526-8754
Mailing address
11211 PROSPERITY FARMS RD STE D127, PALM BEACH GARDENS, FL 33410-3449
(561) 223-6557
(561) 526-8754
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD429218
PA
207W00000X
Ophthalmology Physician
Primary
ME106908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004619200
—
FL
01
—
14J82
BC/BS
FL
Enumeration date
06/24/2006
Last updated
06/08/2023
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