Provider Demographics
NPI:1518481886
Name:CAMEL, MERRILL (RN)
Entity Type:Individual
Prefix:MRS
First Name:MERRILL
Middle Name:
Last Name:CAMEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8445 SW 185TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7237
Mailing Address - Country:US
Mailing Address - Phone:786-256-0521
Mailing Address - Fax:
Practice Address - Street 1:8445 SW 185TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7237
Practice Address - Country:US
Practice Address - Phone:786-256-0521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2017-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMD12512146L00000X
FLRN9409435163WH0200X, 163WI0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No163WH0200XNursing Service ProvidersRegistered NurseHome Health