Individual
DR. ANTONIO DE JESUS CARCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 NORTH BLVD W, DAVENPORT, FL 33837-8998
(863) 204-9485
(863) 204-9015
Mailing address
PO BOX 2442, DAVENPORT, FL 33836-2442
(863) 204-9485
(863) 204-9015
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278948500
—
FL
01
—
56596
BCBS
FL
Enumeration date
08/30/2006
Last updated
09/15/2025
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