Provider Demographics
NPI:1326823071
Name:CAMACHO, SHARON FRANCETA
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:FRANCETA
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10797 LAGO WELLEBY DR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8288
Mailing Address - Country:US
Mailing Address - Phone:305-898-7395
Mailing Address - Fax:
Practice Address - Street 1:10797 LAGO WELLEBY DR
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8288
Practice Address - Country:US
Practice Address - Phone:305-898-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program