Individual
ROBERTO CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.38839
AL
207RC0000X
Cardiovascular Disease Physician
Primary
ME167058
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
07/18/2024
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