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Individual

DR. CAMILLE DENISE CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9220 SW 72ND ST, STE 105, MIAMI, FL 33173-3259
(305) 595-6460
Mailing address
9220 SW 72ND ST, STE 105, MIAMI, FL 33173-3259
(305) 595-6460

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME0068329
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378987000
FL
Enumeration date
05/03/2007
Last updated
03/11/2011
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