Jorge Camacho Md Inc.

LBN: South Florida Eye Institute, Inc.
Jorge Camacho Md Inc. is an health care organization with primary practice located at 6233 N University Dr , Tamarac FL 33321-4022. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. South Florida Eye Institute, Inc. can be contacted via phone (954) 721-0000, or through Camacho, Mirtha Amelia via phone (954) 529-1075.

Contact Information

Primary practice address
6233 N University Dr Tamarac FL 33321-4022
Fax: (954) 721-6308
Website:
Authorized official contact:
Name: Camacho, Mirtha Amelia Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1073542650
LBN Legal business name South Florida Eye Institute, Inc.
DBA Doing business as Jorge Camacho Md Inc.
Authorized official Camacho, Mirtha Amelia Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 19th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073542650 NPPES
Florida Other 9904886 AETNA PIN
Florida Other 6104868 AETNA PIN
Florida MEDICAID 017975502 AETNA PIN
Florida Other 002YB AETNA PIN
Florida MEDICAID 017975500 AETNA PIN

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