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Roberto Camacho

Internal Medicine, Cardiovascular Disease in Tallahassee, FL. Individual provider (NPI-1).

NPI number1861998528
StatusActive
Last updated in NPPESJul 18, 2024

Details

NPI
1861998528
Entity type
Individual (NPI-1)
Name
Roberto Camacho
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2018
Certification date
Jul 18, 2024
Last updated
Jul 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular DiseaseME167058FLYes
207R00000X Internal MedicineMD.38839AL
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1300 Medical Dr
Tallahassee, FL 32308-4646

Phone 850-216-0100

Mailing address

1300 Medical Dr
Tallahassee, FL 32308-4646

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