Provider Demographics
NPI:1376270066
Name:PEREZ-CAMARGO, MARLENYS (BSN)
Entity Type:Individual
Prefix:
First Name:MARLENYS
Middle Name:
Last Name:PEREZ-CAMARGO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3026 CAROL AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2018
Mailing Address - Country:US
Mailing Address - Phone:561-308-0818
Mailing Address - Fax:
Practice Address - Street 1:2100 45TH ST STE B12
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2064
Practice Address - Country:US
Practice Address - Phone:561-557-9501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9528443163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty