Provider Demographics
NPI:1164183745
Name:CAMEJO, MADELINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:
Last Name:CAMEJO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N 28TH CT
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-2942
Mailing Address - Country:US
Mailing Address - Phone:954-257-1208
Mailing Address - Fax:
Practice Address - Street 1:14701 NW 77TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2500
Practice Address - Country:US
Practice Address - Phone:954-257-1208
Practice Address - Fax:786-576-0412
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32528183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist