Camacho, Michelle

Camacho, Michelle is an individual health care provider with primary practice located at 927 45Th St Ste 103 , Mangonia Park FL 33407-2450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perinatal, which is considered as her primary health care specialty. Camacho, Michelle can be contacted via phone (561) 841-0911.

Contact Information

Primary practice address
927 45Th St Ste 103 Mangonia Park FL 33407-2450
Phone: (561) 841-0911
Fax: (561) 630-8007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X 26NJ00058000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X ARNP9429883 Florida

Profile Details

NPI number 1689630055
LBN Legal business name Camacho, Michelle
Credentials NP, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 25th, 2021 - about 5 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 1689630055 NPPES
New Jersey MEDICAID 0036111
New Jersey MEDICAID 101042200

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