Individual
DR. DORIS RANDOLPH CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4106 W LAKE MARY BLVD, SUITE 100, LAKE MARY, FL 32746-3315
(407) 333-2273
(407) 333-3939
Mailing address
4106 W LAKE MARY BLVD, SUITE 100, LAKE MARY, FL 32746-3315
(407) 333-2273
(407) 333-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 69969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004230561
AENTA
FL
01
—
28417
BLUE CROSS BLUE SHIELD
FL
01
—
4308871
CIGNA
FL
01
—
AM199
MEDICARE PROVIDER TRANSACTIONS ACCESS NUMBER
FL
Enumeration date
08/17/2006
Last updated
09/17/2008
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