Provider Demographics
NPI:1306045364
Name:CAMARGO, REINALDO A (MD)
Entity Type:Individual
Prefix:
First Name:REINALDO
Middle Name:A
Last Name:CAMARGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 E COMMERCIAL BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3737
Mailing Address - Country:US
Mailing Address - Phone:954-351-5838
Mailing Address - Fax:954-351-5836
Practice Address - Street 1:1900 E COMMERCIAL BLVD STE 101
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3737
Practice Address - Country:US
Practice Address - Phone:954-351-5838
Practice Address - Fax:954-351-5836
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 100984207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine