Individual
MR. EDGAR CAMACHO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
715 SW 73RD AVE, MIAMI, FL 33144-2635
(305) 250-9998
Mailing address
14850 LAMOINE DR, REDDING, CA 96003-7019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11026349
FL
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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