Individual
DR. JUAN CAMILO CAMACHO-VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 S OSPREY AVE UNIT 101, SARASOTA, FL 34239-3608
(941) 552-5500
(941) 552-5501
Mailing address
1801 S OSPREY AVE UNIT 101, SARASOTA, FL 34239-3608
(941) 552-5500
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
70246
GA
2085R0202X
Diagnostic Radiology Physician
39782
SC
2085R0202X
Diagnostic Radiology Physician
70246
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME152815
FL
390200000X
Student in an Organized Health Care Education/Training Program
5673
GA
Other
Enumeration date
07/20/2012
Last updated
12/06/2023
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