Individual
MRS. JOHANNA CAMACHO-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1150 N 35TH AVE STE 390, HOLLYWOOD, FL 33021-5429
(954) 265-7450
(954) 265-7459
Mailing address
2900 CORPORATE WAY # WAYD, MIRAMAR, FL 33025-3925
(954) 276-5603
(954) 985-7073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
305025
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
11002004
FL
363LA2200X
Adult Health Nurse Practitioner
305025
NY
Other
Enumeration date
09/03/2009
Last updated
08/01/2022
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