Individual
CAMERON MONEY MACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 DAVIN CT, PONTE VEDRA BEACH, FL 32082-1840
(904) 490-0264
Mailing address
247 RUBICON DR, SAINT JOHNS, FL 32259-8452
(904) 490-0264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
APRN11025373
FL
363L00000X
Nurse Practitioner
Primary
APRN11025373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11025373
STATE LICENSE
FL
Enumeration date
03/31/2023
Last updated
05/12/2023
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