Individual
WENDY CRISTINA CARCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-6301
(954) 985-1434
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4488
(954) 454-5131
(954) 241-6908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME139721
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME139721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108-954-700
—
FL
Enumeration date
06/28/2016
Last updated
01/11/2024
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