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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689630055 | NPPES |
New Jersey | MEDICAID | 0036111 | |
New Jersey | MEDICAID | 101042200 |
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