Camacho, Lisys

Camacho, Lisys is an sole proprietor health care provider with primary practice located at 1345 Lincoln Rd Suite 505, Miami Beach FL 33139-2242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Camacho, Lisys can be contacted via phone (305) 527-2546.

Contact Information

Primary practice address
1345 Lincoln Rd Suite 505 Miami Beach FL 33139-2242
Fax: (888) 297-8960
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9180120 Florida

Profile Details

NPI number 1053377846
LBN Legal business name Camacho, Lisys
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Mar 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053377846 NPPES
Florida MEDICAID 306505700

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