Camejo, Larissa
Camejo, Larissa is an sole proprietor health care provider with primary practice located at 11211 Prosperity Farms Rd Ste D127 , Palm Beach Gardens FL 33410-3449. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Camejo, Larissa can be contacted via phone (561) 223-6557.Contact Information
Primary practice address
11211 Prosperity Farms Rd Ste D127
Palm Beach Gardens FL 33410-3449
Phone: (561) 223-6557
Fax: (561) 526-8754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD429218 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME106908 | Florida |
Profile Details
| NPI number | 1447286190 |
|---|---|
| LBN Legal business name | Camejo, Larissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jun 8th, 2023 - about last year |
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 | 1447286190 | NPPES |
| Florida | MEDICAID | 004619200 | |
| Florida | Other | 14J82 |
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