Camilo, Raisa D

Camilo, Raisa D is an individual health care provider with primary practice located at 4958 Sun N Lake Blvd , Sebring FL 33872-2167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Camilo, Raisa D can be contacted via phone (863) 385-4711.

Contact Information

Primary practice address
4958 Sun N Lake Blvd Sebring FL 33872-2167
Fax: (863) 386-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0061030 Florida

Profile Details

NPI number 1427048495
LBN Legal business name Camilo, Raisa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Nov 9th, 2009 - about 16 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 1427048495 NPPES
Florida MEDICAID 373302500

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